title: Multiple Medium Amoebic Liver Abscesses Successfully Treated with Medication and Comprehensive Percutaneous Catheter Drainage.
abstract: Solitary small (<5 cm) amoebic liver abscesses in the right lobe are generally treated using medication alone, while large abscesses are typically treated via a combination of medication and drainage. However, the therapeutic indications for multiple medium (5-10 cm) amoebic liver abscesses remain unclear. We herein report the findings of a 53-year-old woman who was receiving lenalidomide for multiple myeloma and subsequently developed multiple amoebic abscesses. Metronidazole alone was unsuccessful, although metronidazole and repeated percutaneous catheter drainage of the right lobe, left lobe, and thorax proved to ultimately be successful. Therefore, the successful use of medication alone may be associated with the total combined abscess volume.
authors: Department of Infectious Disease, Osaka City General Hospital, Japan.
authors: Yu
authors: Y
authors: Kasamatsu
authors: Michinori
authors: M
authors: Shirano
authors: Ko
authors: K
authors: Iida
authors: Sadatoshi
authors: S
authors: Shimizu
authors: Tetsushi
authors: T
authors: Goto
mesh_terms: D002404:Catheterization / Q000379:methods; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D007155:Immunologic Factors / Q000009:adverse effects*; D000077269:Lenalidomide; D008101:Liver Abscess, Amebic / Q000139:chemically induced* / Q000188:drug therapy / Q000473:pathology / Q000628:therapy; D008795:Metronidazole / Q000627:therapeutic use*; D008875:Middle Aged; D009101:Multiple Myeloma / Q000188:drug therapy* / Q000473:pathology; D013792:Thalidomide / Q000009:adverse effects / Q000031:analogs & derivatives*
chemical_list: D007155:Immunologic Factors; D008795:Metronidazole; D013792:Thalidomide; D000077269:Lenalidomide