Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8740663 | Journal of Infection and Chemotherapy | 2018 | 5 Pages |
Abstract
A 73-year-old woman was admitted with consciousness disturbance following a fever. Abdominal computed tomography revealed a large liver abscess with which the presence of Desulfovibrio desulfuricans and Escherichia coli was confirmed by thorough blood and abscess content culture. Empiric meropenem treatment was switched to cefoperazone/sulbactam, followed by ampicillin/sulbactam based on susceptibility testing. Desulfovibrio desulfuricans is a common bacterium that rarely causes liver abscess and may be overlooked during co-infection due to overgrowth of the accompanying bacteria. Clinicians should bear Desulfovibrio desulfuricans in mind and select the appropriate antibiotics according to susceptibility testing when anaerobic bacteria are detected in a liver abscess.
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Authors
Tomoo Yamazaki, Satoru Joshita, Eriko Kasuga, Kazuki Horiuchi, Ayumi Sugiura, Naoyuki Fujimori, Michiharu Komatsu, Takeji Umemura, Akihiro Matsumoto, Eiji Tanaka,