An unusual case of sepsis: Liver abscess masquerading as pneumonia
Kozhippally, Mohandas Sivaraman, Subash
Kozhippally, Mohandas
Sivaraman, Subash
Abstract
A 63-year-old woman presented with fever, tachycardia and tachypnoea, with right sided chest and hypochondrial pain. Chest radiograph showed right basal consolidation and she was treated for community acquired pneumonia with intravenous antibiotics. Subsequent clinical deterioration in presence of a previous history of complicated diverticulitis, persistent right hypochondrial pain and deranged liver function tests prompted further investigations that confirmed presence of a large pyogenic liver abscess. Following appropriate antibiotic treatment and image guided drainage of the abscess, the patient made a complete recovery. This case illustrates the importance of considering a subdiaphragmatic source of sepsis even in the presence of chest radiographic abnormalities, when a patient fails to respond to initial treatment for pneumonia.
MIDER Authors
Affiliations
Citations
Altmetric:
Date
2017
Type
Article
Subject
Collections
Citation
Acute Medicine; 2017; vol. 16 (no. 2); p. 92-94