Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Liver Abscess Caused by Multidrug-resistant Pseudomonas aeruginosa Treated with Colistin; A Case Report and Review of the Literature
Kenichiro YaitaIchiro SameshimaHideaki TakeyamaShinpei MatsuyamaChie NagaharaRyo HashiguchiYukiko MoronagaNami TottoriMasanari KomatsuYusuke OshiroYukihiro Yamaguchi
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JOURNALS OPEN ACCESS

2013 Volume 52 Issue 12 Pages 1407-1412

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Abstract

A 77-year-old man had undergone left-lobe liver resection and a choledochojejunostomy six years previously, and thereafter he suffered from a postoperative relapse of cholangitis. He was admitted to our hospital due to liver abscesses and bacteremia caused by multidrug-resistant Pseudomonas aeruginosa. Empirical treatment with piperacillin/tazobactam was started, and the patient initially recovered. However, he developed a second case of sepsis caused by piperacillin/tazobactam-resistant P. aeruginosa bacteremia originating from a new liver abscess. We changed the piperacillin/tazobactam to colistin and flomoxef and continued the two antibiotics for one month. During the antibiotic therapy, the patient successfully underwent bile duct stent placement.

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© 2013 by The Japanese Society of Internal Medicine
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