<abstract xmlns="http://www.w3.org/1999/xhtml"><p>Pyogenic liver abscess is an uncommon but important and potentially life-threatening disease that occurs whenever there is failure of clearance of an infection in the liver. Work presents a rare case of pyogenic liver abscess with confirmed bacterial aetiology of <italic>Staphylococcus aureus</italic>, subsequently confirmed <italic>Echinococcus multilocularis</italic> and suspected <italic>Mycobacterium tuberculosis</italic> liver infection in 6 years old child. Moreover, several other parasitic diseases were recorded. According to clinical presentation of diseases, it could be supposed that liver impairment caused by alveolar echinococcosis and potentially also by <italic>M. tuberculosis</italic> could be the predisposition site for the capture of <italic>Staphylococcus aureus</italic> in altered liver tissues during its haematogenous spreading, and thus contributed to the development and subsequent clinical presentation of pyogenic liver abscess. The presence of three different aetiological agents complicated the diagnostic process as well as the therapy of the patient and made her prognosis uncertain. Proper diagnosis of multiloculated liver abscesses, with echinococcosis and hepatic tuberculosis considered in the differential diagnosis, is therefore crucial to administration of early and appropriate treatment.</p></abstract>

Pyogenic liver abscess is an uncommon but important and potentially life-threatening disease that occurs whenever there is failure of clearance of an infection in the liver. Work presents a rare case of pyogenic liver abscess with confirmed bacterial aetiology of Staphylococcus aureus, subsequently confirmed Echinococcus multilocularis and suspected Mycobacterium tuberculosis liver infection in 6 years old child. Moreover, several other parasitic diseases were recorded. According to clinical presentation of diseases, it could be supposed that liver impairment caused by alveolar echinococcosis and potentially also by M. tuberculosis could be the predisposition site for the capture of Staphylococcus aureus in altered liver tissues during its haematogenous spreading, and thus contributed to the development and subsequent clinical presentation of pyogenic liver abscess. The presence of three different aetiological agents complicated the diagnostic process as well as the therapy of the patient and made her prognosis uncertain. Proper diagnosis of multiloculated liver abscesses, with echinococcosis and hepatic tuberculosis considered in the differential diagnosis, is therefore crucial to administration of early and appropriate treatment.

Pyogenic liver abscess in a child with concomitant infections – <italic>Staphylococcus aureus, Echinococcus multilocularis</italic> and <italic>Mycobacterium tuberculosis</italic>

Institute of Parasitology SAS, Hlinkova 3, 040 01 Košice, Slovakia

Department of Infectious Diseases, Children’s Faculty Hospital Košice, Trieda SNP 1, 040 01 Košice, Slovakia

Pediatric Clinic, Children’s Faculty Hospital Košice, Trieda SNP 1, 040 01 Košice, Slovakia

Clinic of Infectology and Travel Medicine, Comenius University Bratislava, Jessenius Faculty of Medicine and University Hospital, Martin

Helminthologia

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Pyogenic liver abscess in a child with concomitant infections –  and 

Pyogenic liver abscess is an uncommon but important and potentially life-threatening disease that occurs whenever there is failure of clearance of an infection...

Pyogenic liver abscess in a child with concomitant infections – Staphylococcus aureus, Echinococcus multilocularis and Mycobacterium tuberculosis

Article Category: Case Report

Publié en ligne: 22 juil. 2016

Pages: 270 - 275

Reçu: 02 juin 2016

Accepté: 21 juin 2016

DOI: https://doi.org/10.1515/helmin-2016-0026

Mots clés
Pyogenic liver abscess,

© 2016 Institute of Parasitology, SAS, Košice

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Pyogenic liver abscess in a child with concomitant infections – Staphylococcus aureus, Echinococcus multilocularis and Mycobacterium tuberculosis

Article Category: Case Report

Publié en ligne: 22 juil. 2016

Pages: 270 - 275

Reçu: 02 juin 2016

Accepté: 21 juin 2016

DOI: https://doi.org/10.1515/helmin-2016-0026

Mots clésPyogenic liver abscess,

© 2016 Institute of Parasitology, SAS, Košice

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Mots clés
Pyogenic liver abscess,