Case Report
Volume: 5 | Issue: 3 | Published: Mar 28, 2021 | Pages: 66 - 70 | DOI: 10.24911/ejmcr/173-1585170840
A rare hepatic abscess by Streptococcus intermedius complicated with hepatobronchial fistula: a case report
Authors:
Jose Martin De Santiago Valenzuela
, Luis Francisco Pineda Galindo
, Zeltzin Olivia Guerrero Mancinas
, Ana Belem Clotilde Castro Ponce
, Carlos Fitzner Degante
Article Info
Authors
Jose Martin De Santiago Valenzuela
Internal Medicine Department, Piso 7. UMAE-Especialidades Dr. Antonio Fraga Mouret, Centro Medico Nacional La Raza, Instituto Mexicano del Seguro Social. Seris y Zaachila S/N, Col. La Raza, Azcapotzalco, C.P. 02990. Mexico
Luis Francisco Pineda Galindo
Internal Medicine Department, Piso 7. UMAE-Especialidades Dr. Antonio Fraga Mouret, Centro Medico Nacional La Raza, Instituto Mexicano del Seguro Social. Seris y Zaachila S/N, Col. La Raza, Azcapotzalco, C.P. 02990. Mexico
Zeltzin Olivia Guerrero Mancinas
Internal Medicine Department, Piso 7. UMAE-Especialidades Dr. Antonio Fraga Mouret, Centro Medico Nacional La Raza, Instituto Mexicano del Seguro Social. Seris y Zaachila S/N, Col. La Raza, Azcapotzalco, C.P. 02990. Mexico
Ana Belem Clotilde Castro Ponce
Internal Medicine Department, Piso 7. UMAE-Especialidades Dr. Antonio Fraga Mouret, Centro Medico Nacional La Raza, Instituto Mexicano del Seguro Social. Seris y Zaachila S/N, Col. La Raza, Azcapotzalco, C.P. 02990. Mexico
Carlos Fitzner Degante
Internal Medicine Department, Piso 7. UMAE-Especialidades Dr. Antonio Fraga Mouret, Centro Medico Nacional La Raza, Instituto Mexicano del Seguro Social. Seris y Zaachila S/N, Col. La Raza, Azcapotzalco, C.P. 02990. Mexico.
Publication History
Received: March 25, 2020
Accepted: March 13, 2021
Published: March 28, 2021
Abstract
Background: Hepatobronchial fistula is infrequent and secondary to pyogenic abscess caused by Streptococcus intermedius. This agent causes infections such as hepatic abscesses, endocarditis, bacteremia, and others. The treatment includes drainage, antibiotic management, and surgical intervention in some cases. Case Presentation: We describe a case of a 50-year-old male with a pyogenic liver abscess complicated by hepatobronchial fistula, admitted to the Internal Medicine Department with fever, long-lasting chills, and weight loss. The diagnostic approach revealed a pyogenic abscess secondary to S. intermedius. After percutaneous drainage, the patient presented purulent expectoration. A cavitogram revealed a hepatobronchial fistula. Treatment with antibiotics and closure of the defect was satisfactory. Conclusion: This is a case of a hepatic abscess due to S. intermedius complicated with hepatobronchial fistula, a rare clinical entity; the opportune hybrid approach (surgical plus interventional and radiological) reduces the risk of a major thoracoabdominal operation, which influenced the good prognosis of our patient.
Keywords: Hepatobronchial fistula, hepatic abscess, green
