Extensive Pylephlebitis and a Liver Abscess Combined with Streptococcus Intermedius Sepsis
10.3904/kjm.2019.94.4.375
- Author:
Jeong Eun SONG
1
;
Byung Seok KIM
Author Information
1. Department of Internal Medicine, Daegu Catholic University School of Medicine, Daegu, Korea. kbs9225@cu.ac.kr
- Publication Type:Case Report
- Keywords:
Thrombophlebitis;
Liver abscess;
Streptococcus intermedius
- MeSH:
Anti-Bacterial Agents;
Anticoagulants;
Bacteremia;
Diagnosis;
Intraabdominal Infections;
Liver Abscess;
Liver;
Portal Vein;
Sepsis;
Streptococcus intermedius;
Streptococcus;
Thrombophlebitis;
Thrombosis
- From:Korean Journal of Medicine
2019;94(4):375-378
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pylephlebitis (septic thrombophlebitis of the portal venous system) is a rare but serious complication of intra-abdominal infections that drain into the portal venous system. Its diagnosis is based on imaging; computed tomography may reveal a thrombus in the portal vein. Bacteremia may also be evident. As the symptoms are nonspecific, early clinical diagnosis is difficult, and delayed treatment can compromise outcomes. We report a case with extensive pylephlebitis and a liver abscess associated with Streptococcus intermedius sepsis; the case was treated successfully with antibiotics and anticoagulants. Such cases have not been widely reported.
