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Methicillin‐resistant Staphylococcus aureus hepatic abscess in a patient with sickle‐cell disease
Author(s) -
MANCAO M.,
ESTRADA B.,
WILSON F.,
FIGAROLA M.,
WESENBERG R.
Publication year - 2007
Publication title -
international journal of laboratory hematology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.705
H-Index - 55
eISSN - 1751-553X
pISSN - 1751-5521
DOI - 10.1111/j.1365-2257.2006.00855.x
Subject(s) - medicine , abscess , liver abscess , cholecystectomy , abdominal pain , staphylococcus aureus , surgery , cholecystitis , abdomen , jaundice , gallbladder , biology , bacteria , genetics
Summary We report a case of a 16‐year‐old female patient with sickle‐cell disease with a liver abscess secondary to methicillin‐resistant Staphylococcus aureus (MRSA). She had initially presented with jaundice and abdominal pain and subsequently underwent endoscopic retrograde cholangio‐pancreaticography followed by laparoscopic cholecystectomy for removal of gallstones. However, post‐cholecystectomy she presented with generalized abdominal pain and computed tomography scan of the abdomen revealed a liver abscess. A pigtail catheter was inserted into the abscess and culture of the aspirate yielded MRSA (susceptibility pattern of the organism was compatible with community‐acquired MRSA). She was treated with intravenous clindamycin for 6 weeks with complete resolution of the abscess.