Liver Abscess Caused by CTX-M-55-type Extended-spectrum β-lactamase (ESBL)-producing Salmonella enteritidis

Akira Imoto; Yukimasa Ooi; Shoko Edogawa; Takeshi Ogura; Daisuke Masuda; Malak Mohamed; Michiaki Takii; Eiji Umegaki; Ryuji Kawahara; Akira Ukimura; Kazuhide Higuchi

doi:10.2169/internalmedicine.53.2407

CASE REPORTS

Liver Abscess Caused by CTX-M-55-type Extended-spectrum β-lactamase (ESBL)-producing Salmonella enteritidis

Akira Imoto, Yukimasa Ooi, Shoko Edogawa, Takeshi Ogura, Daisuke Masuda, Malak Mohamed, Michiaki Takii, Eiji Umegaki, Ryuji Kawahara, Akira Ukimura, Kazuhide Higuchi

Author information

Akira Imoto
The Second Department of Internal Medicine, Osaka Medical College, Japan
Yukimasa Ooi
Department of Microbiology and Infection Control, Osaka Medical College, Japan
Shoko Edogawa
The Second Department of Internal Medicine, Osaka Medical College, Japan
Takeshi Ogura
The Second Department of Internal Medicine, Osaka Medical College, Japan
Daisuke Masuda
The Second Department of Internal Medicine, Osaka Medical College, Japan
Malak Mohamed
The Second Department of Internal Medicine, Osaka Medical College, Japan
Department of Gastroenterology, Sohag University, Egypt
Michiaki Takii
The Second Department of Internal Medicine, Osaka Medical College, Japan
Eiji Umegaki
The Second Department of Internal Medicine, Osaka Medical College, Japan
Ryuji Kawahara
Department of Infectious Diseases, Osaka Prefectural Institute of Public Health, Japan
Akira Ukimura
Department of Microbiology and Infection Control, Osaka Medical College, Japan
Kazuhide Higuchi
The Second Department of Internal Medicine, Osaka Medical College, Japan

Keywords: extended-spectrum β-lactamase (ESBL), liver abscess, Salmonella enteritidis, CTX-M-55, gas-forming

JOURNAL OPEN ACCESS

2014 Volume 53 Issue 15 Pages 1699-1703

DOI https://doi.org/10.2169/internalmedicine.53.2407

Details

Abstract

Liver abscesses secondary to Salmonella species are rarely described in the general population. We herein describe a case of a liver abscess caused by CTX-M-55-type extended-spectrum β-lactamase (ESBL)-producing Salmonella enteritidis, which has not been reported in the literature. A 54-year-old male was admitted due to a high fever and was clinically diagnosed with a liver abscess. Culture of the fluid from the liver abscess revealed CTX-M-55-type ESBL-producing S. enteritidis. Although the patient underwent percutaneous transhepatic abscess drainage and antibiotic therapy, he died one month later. It should be noted that liver abscesses are potentially fatal depending on the causative pathogen.

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