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

Ji Hye Gwak; Yeun Joo Eem; Ui Yoon Choi; Jin Han Kang

doi:10.14776/kjpid.2013.20.1.36

Journal List > Korean J Pediatr Infect Dis > v.20(1) > 1096048

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Gwak, Eem, Choi, and Kang: A Case of Pyogenic Liver Abscess Caused by Staphylococcus epidermidis in a Healthy Child

Case Report

Korean Journal of Pediatric Infectious Diseases

Korean Journal of Pediatric Infectious Diseases 2013; 20(1): 36-40.

Published online: 30 April 2013

DOI: https://doi.org/10.14776/kjpid.2013.20.1.36

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

Ji Hye Gwak, M.D., Yeun Joo Eem, M.D., Ui Yoon Choi, M.D., Jin Han Kang, M.D.

Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Correspondence: Jin Han Kang, M.D. Department of Pediatrics, College of Medicine, The Catholic University of Korea. Tel: +82-2-2258-6183, Fax: +82-2-537-4544, kjhan@catholic.ac.kr

Received 9 September 2012 Revised 17 October 2012 Accepted 18 October 2012

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 7.0×6.5 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.

Keywords: Liver abscess, Staphylococcus epidermidis, Child

Figures and Tables

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.

References

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.

4. Sharma MP, Kumar A. Liver abscess in children. Indian J Pediatr. 2006. 73:813–817.

5. Johannsen EC, Sifri CD, Madoff LC. Pyogenic liver abscesses. Infect Dis Clin North Am. 2000. 14:547–563.

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.

7. Hansen PS, Schonheyder HC. Pyogenic hepatic abscess. A 10-year population-based retrospective study. APMIS. 1998. 106:396–402.

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.

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.

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.

11. Pineiro-Carrero VM, Andres JM. Morbidity and mortality in children with pyogenic liver abscess. Am J Dis Child. 1989. 143:1424–1427.

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.

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.

16. Donovan AJ, Yellin AE, Ralls PW. Hepatic abscess. World J Surg. 1991. 15:162–169.

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.

TOOLS

Similar articles