A Case of liver abscess with Portal Vein Thrombosis caused by ÃÂ±-Hemolytic streptococciToru Shizuma*
Department of Physiology, Tokai University School of Medicine, Japan
- Corresponding Author:
- Toru Shizuma
Department of Physiology
Tokai University School of Medicine
Shimokasuya, Isehara, Kanagawa, Japan
E-mail: [email protected]
Received Date: May 31, 2017; Accepted Date: June 08, 2017; Published Date: June 10, 2017
Citation: Shizuma T (2017) A Case of liver abscess with Portal Vein Thrombosis caused by α-Hemolytic streptococci. J Liver 6:215. doi: 10.4172/2167-0889.1000215
Copyright: © 2017 Shizuma T. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Cases of liver abscess complicated by portal vein thrombosis are relatively rare. We report a case of liver abscess caused by α-hemolytic streptococci and complicated by portal vein thrombosis. A 51-year-old male presented with fever and right hypochondralgia. He had watery diarrhoea and bloody stool for over 1 month before presentation. Laboratory tests showed elevated hepatobiliary enzymes, inflammation findings, and anemia. Abdominal imaging revealed liver abscess in the right lobe and thrombosis of right and left branches of the portal vein; no thrombosis was observed in the extrahepatic portal vein. Colonoscopy revealed nonspecific colitis without diverticula or malignancies, and no possible causes of liver abscess except for enterocolitis were detected. Clinical course and laboratory findings indicated that an amoebic liver abscess was unlikely. Blood and pus cultures were positive for α-hemolytic streptococci. A diagnosis of liver abscess caused by α-hemolytic streptococci and complicated by portal vein thrombosis was made. The size of the liver abscess reduced, and inflammation findings resolved with 3 weeks of antibiotic treatment and abscess drainage. Portal vein thrombosis disappeared after 2 week anticoagulant therapy.