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Sonographic detection of multiple Staphylococcus aureus hepatic microabscesses mimicking Candida abscesses
Author(s) -
Verbanck Johan,
Ponette Johan,
Verbanck Mieke,
Vandewiele Ignace,
Segaert Marc
Publication year - 1999
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/(sici)1097-0096(199910)27:8<478::aid-jcu11>3.0.co;2-2
Subject(s) - medicine , staphylococcus aureus , candida albicans , pathology , sepsis , abscess , surgery , microbiology and biotechnology , biology , bacteria , genetics
We report the sonographic, CT, and clinical findings in a patient presenting with clinical sepsis and multiple Staphylococcus aureus hepatic microabscesses. Although contrast‐enhanced CT has had a higher sensitivity than sonography in detecting hepatic microabscesses in some studies, this examination was negative in our patient. On sonography, numerous small hypoechoic lesions were present. Some target‐like lesions had a striking similarity to Candida albicans microabscesses. The hepatic lesions were believed to be pyogenic liver microabscesses, as several blood cultures were positive for S. aureus. Following prolonged intravenous antibiotic therapy, all the hypoechoic hepatic lesions disappeared, along with the clinical and biochemical signs of sepsis. © 1999 John Wiley & Sons, Inc. J Clin Ultrasound 27:478–481, 1999.