A Rare Case of Hepatic Abscess That Resolved after Drainage of Pleural Empyema

Oluwafemi Augustine Ajibola; Taiwo Opeyemi Aremu; Oluwatosin Esther Oluwole; Olawunmi Olayiwola; Nida Khokhar; Matthew Apedo; Valerie Cluzet

doi:10.3390/healthcare9121732

A Rare Case of Hepatic Abscess That Resolved after Drainage of Pleural Empyema

Healthcare (Basel). 2021 Dec 14;9(12):1732. doi: 10.3390/healthcare9121732.

Authors

Oluwafemi Augustine Ajibola¹, Taiwo Opeyemi Aremu^{2

3}, Oluwatosin Esther Oluwole⁴, Olawunmi Olayiwola⁵, Nida Khokhar¹, Matthew Apedo¹, Valerie Cluzet¹

Affiliations

¹ Department of Medicine, Vassar Brothers Medical Center, Nuvance Health, 45 Reade Place, Poughkeepsie, NY 12601, USA.
² Department of Pharmaceutical Care & Health Systems (PCHS), College of Pharmacy, University of Minnesota, 308 Harvard Street SE, Minneapolis, MN 55455, USA.
³ Division of Environmental Health Sciences, School of Public Health, University of Minnesota, 420 Delaware Street SE, Minneapolis, MN 55455, USA.
⁴ Division of Epidemiology & Community Health, School of Public Health, University of Minnesota, 300 West Bank Office Building, 1300 S. 2nd Street, Minneapolis, MN 55454, USA.
⁵ Department of Medicine, Milton Keynes University Hospital, Standing Way, Eaglestone, Milton Keynes MK6 5LD, UK.

Abstract

Empyema has rarely been associated with hepatic abscess. In patients with concurrent empyema and hepatic abscess, hepatic abscess drainage is usually required after drainage of the pleura. We present a rare case of a 91-year-old Caucasian man who presented with a 2-week history of productive cough, fever, shortness of breath, and generalized malaise. The patient was found to have concurrent streptococci empyema and hepatic abscess, and, interestingly, the hepatic abscess resolved after the drainage of the empyema and initiation of antibiotics.

Keywords: disseminated pyogenic infection; empyema; hepatic abscess; pleural effusion; transdiaphragmatic extension.

Publication types

Case Reports