Korean J Pediatr Infect Dis.  2013 Apr;20(1):36-40.

A Case of Pyogenic Liver Abscess Caused by Staphylococcus epidermidis in a Healthy Child

Affiliations
  • 1Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea. kjhan@catholic.ac.kr

Abstract

Staphylococcus epidermidis is a normal inhabitant of skin, throat, mouth, vagina, and urethra. It is not usually pathogenic, particularly in immunocompetent hosts. This report describes a case of a pyogenic liver abscess caused by Staphylococcus epidermidis in a healthy 12-year-old boy. He was admitted to Seoul St. Mary's Hospital with intermittent fever for 6 days. Findings on abdominal computed tomography (CT) showed a mass measuring 7.0x6.5 cm in the right hepatic lobe. Culture of the abscess resulted in growth of Staphylococcus epidermidis as a causative organism. The patient was successfully treated with intravenous administration of antibiotics and percutaneous drainage of the abscess.

Keyword

Liver abscess; Staphylococcus epidermidis; Child

MeSH Terms

Abscess
Administration, Intravenous
Anti-Bacterial Agents
Child
Drainage
Fever
Humans
Liver Abscess
Liver Abscess, Pyogenic
Mouth
Pharynx
Skin
Staphylococcus
Staphylococcus epidermidis
Urethra
Vagina
Anti-Bacterial Agents

Figure

  • Fig. 1 Abdominal CT showed a pyogenic liver abscess measuring 7.0×6.5 cm in the right hepatic lobe with central low density.

  • Fig. 2 On hospital day 26, findings on a follow up CT showed a decrease in the size of the liver abscess.


Reference

1. Lee SB, Hwang KS, Cho KS, Moon DS. A case of pyogenic abscess with fever of unknown origin. J Korean Pediatr Soc. 1983. 26:1145–1148.
2. Byun JL, Bae SH, Park SW. A case of liver abscess in a 10-year-old girl. Korean J Pediatr. 2010. 53:666–668.
3. Mishra K, Basu S, Roychoudhury S, Kumar P. Liver abscess in children: an overview. World J Pediatr. 2010. 6:210–216.
Article
4. Sharma MP, Kumar A. Liver abscess in children. Indian J Pediatr. 2006. 73:813–817.
Article
5. Johannsen EC, Sifri CD, Madoff LC. Pyogenic liver abscesses. Infect Dis Clin North Am. 2000. 14:547–563.
Article
6. Salahi R, Dehghani SM, Salahi H, Bahador A, Abbasy HR, Salahi F. Liver abscess in children: a 10-year single centre experience. Saudi J Gastroenterol. 2011. 17:199–202.
Article
7. Hansen PS, Schonheyder HC. Pyogenic hepatic abscess. A 10-year population-based retrospective study. APMIS. 1998. 106:396–402.
Article
8. Kliegman RM. Kliegman RM, Stanton BF, Schor NF, Behrman RE, St. Geme JW, editors. Liver abscess. Nelson textbook of pediatrics. 2011. 19th ed. Philadelphia: Elsevier Saunders;1404–1405.
Article
9. Muorah M, Hinds R, Verma A, Yu D, Samyn M, Mieli-Vergani G, et al. Liver abscesses in children: a single center experience in the developed world. J Pediatr Gastroenterol Nutr. 2006. 42:201–206.
Article
10. Hendricks MK, Moore SW, Millar AJ. Epidemiologocal aspects of liver abscess in children in the Western Cape Province of South Africa. J Trop Pediatr. 1997. 43:103–105.
Article
11. Pineiro-Carrero VM, Andres JM. Morbidity and mortality in children with pyogenic liver abscess. Am J Dis Child. 1989. 143:1424–1427.
Article
12. Ferreira MA, Pereira FE, Musso C, Dettogni RV. Pyogenic liver abscess in children; some observations in the Espirito Santo State, Brazil. Arq Gastroenterol. 1997. 34:49–54.
13. Kumar A, Srinivasan S, Sharma AK. Pyogenic liver abscess in children-South Indian experiences. J Pediatr Surg. 1998. 33:417–421.
Article
14. Todd JK. Kliegman RM, Stanton BF, Schor NF, Behrman RE, St. Geme JW, editors. Coagulase-negative staphylococci. Nelson textbook of pediatrics. 2011. 19th ed. Philadelphia: Elsevier Saunders;909–910.
15. Israeli R, Jule JE, Hom J. Pediatric pyogenic liver abscess. Pediatr Emerg Care. 2009. 25:107–108.
Article
16. Donovan AJ, Yellin AE, Ralls PW. Hepatic abscess. World J Surg. 1991. 15:162–169.
Article
17. Barakate MS, Stephen MS, Waugh RC, Gallagher PJ, Solomon MJ, Storey DW, et al. Pyogenic liver abscess: a review of 10 year's experience in management. Aust N Z J Surg. 1999. 69:205–209.
Article
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