Abstract
We report a case of successfully treated multiple liver abscesses in a liver-transplanted patient, sustained by combined multidrug-resistant infections. Two months after a liver transplant, a computed tomography scan revealed the presence of multiple abscesses in the liver graft. Blood cultures and abscessual liver fluid were both positive for acquired colistin- and carbapenem- resistant Klebsiella pneumoniae and an extended-spectrum of beta-lactamases-producing Enterobacter aerogenes. The treatment strategy consisted of different prolonged antimicrobial combinations and draining of the abscesses with complete recovery of the liver lesions.
MeSH terms
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Aged
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Anti-Bacterial Agents / administration & dosage*
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Coinfection*
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Drainage
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Drug Resistance, Multiple, Bacterial*
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Drug Therapy, Combination
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Enterobacter aerogenes / drug effects*
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Enterobacter aerogenes / isolation & purification
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Enterobacteriaceae Infections / diagnosis
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Enterobacteriaceae Infections / drug therapy*
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Enterobacteriaceae Infections / microbiology
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Female
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Humans
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Klebsiella Infections / diagnosis
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Klebsiella Infections / drug therapy*
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Klebsiella Infections / microbiology
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Klebsiella pneumoniae / drug effects*
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Klebsiella pneumoniae / isolation & purification
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Liver Abscess / diagnosis
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Liver Abscess / drug therapy*
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Liver Abscess / microbiology
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Liver Transplantation / adverse effects*
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Microbial Sensitivity Tests
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Positron Emission Tomography Computed Tomography
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Time Factors
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Treatment Outcome