Two Cases of Salmonella typhi Liver Abscess after Transarterial- Chemoembolization.
- Author:
Yong Kyun CHO
1
;
Sung Yeun YANG
;
Doo Ryeon CHUNG
;
Eun Ok KIM
;
Mi Na KIM
;
Yang Soo KIM
;
Jun Hee WOO
;
Chik Hyun PAI
;
Ji So RYU
Author Information
1. Department of Internal Medicine, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Transarterial-chemoembolization;
Liver abscess;
Salmonella typhi
- MeSH:
Abscess;
Carcinoma, Hepatocellular;
Coinfection;
Drainage;
Humans;
Korea;
Liver Abscess*;
Liver Abscess, Pyogenic;
Liver*;
Salmonella typhi*;
Salmonella*;
Tomography, X-Ray Computed
- From:Korean Journal of Infectious Diseases
1997;29(5):447-451
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hepatocellular carcinoma (HCC) is one of the most common malignancies in Korea. Transarterial chemoembolization (TACE) is an effective modality for treating HCC with a few complications. Liver abscess is most common infectious complication during post-TACE period. However, liver abscess caused by Salmonella typhi has never been reported. We experienced two cases of liver abscess following TACE, caused by S. typhi. Th clinical manifestations of S. typhi liver abscess are similar with other pyogenic liver abscesses. The CT scans showed liver abscesses mixed with necrotic materials after TACE, and the cultures of blood and abscess aspirates yielded S. typhi. The patients did not respond well only with the antibiotic treatment and was controlled after percutaneous drainage. A possible pathogenesis of these liver abscesses is considered as secondary infection in the necrotic liver tissues in biliary carrier of S. typhi.
