CAJ | 학술논문

BACKGROUND:?Hepatic? abscess? secondary? to? Salmonella? is?extremely?rare?in?the?United?States?and?other?Western?countries. <br> METHODS:?A? 43-year-old? Caucasian? man,? with? a? history?of? chronic? alcohol? abuse,? was? admitted? to? the? hospital? for?intermittent? abdominal? pain,? fever? and? diarrhea.? Clinical,?radiological? and? laboratory? results? were? analyzed.? Medical?literature?in?PubMed?pertaining?to?similar?cases?was?reviewed. <br> RESULTS:?Stool?culture?was?positive?for?Salmonella?serotype?B?and?a?CT?scan?of?the?abdomen?with?contrast?was?consistent?with?a?solitary?hepatic?abscess.?Appropriate?intravenous?antibiotics?followed?by?oral?maintenance?therapy?for?six?weeks?resulted?in?a?complete?clinical?recovery?and?radiographic?resolution. <br> CONCLUSIONS:?The? cause? of? Salmonella? hepatic? abscess? in?our?patient?was?most?likely?associated?with?decreased?mucosal?resistance? to? the? bacteria,? seeding? of? infection? via? transient?portal? bacteremia? and? loss? of? host? immunity.? Our? case?highlights?the?fact?that?appropriate?antibiotic?alone?is?sufficient?in?the?management?of?a?solitary?hepatic?abscess?less?than?3-5?cm.