Two Cases of Liver Abscesses Derived from Dental Disease in Patients with Alcoholic Chronic Pancreatitis.

Abstract

Among the etiologies of pyogenic liver abscess (PLA), bacterial spread from the biliary tract or portal flow is the major cause, while the onset of PLA due to arterial bacterial transmission is rare. We herein report two cases of PLA thought to be caused by arterial transmission from dental disease. In both cases, there was benign biliary stricture as a result of alcoholic chronic pancreatitis, although normal oral flora was detected as the causative bacteria and oral hygiene was poor in both patients. We presumed that the origin of PLA was dental disease and successfully treated the patients with percutaneous drainage, antibiotics and dental procedures.

• Authors: Yukiko Osawa, Hiroyuki Isayama, Suguru Mizuno, Yousuke Nakai, Miho Matsukawa, Dai Mohri, Hirofumi Kogure, Takashi Sasaki, Natsuyo Yamamoto, Kenji Hirano, Naoki Sasahira, Minoru Tada, Kazuhiko Koike
• Journal: Internal medicine (Tokyo, Japan) (Intern Med) Vol. 54 Issue 13 Pg. 1623-5 ( 2015) ISSN: 1349-7235 [Electronic] Japan
• PMID: 26134194 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Bacterial Agents

Topics

• Adult
• Anti-Bacterial Agents (therapeutic use)
• Cholangiopancreatography, Endoscopic Retrograde
• Disease Progression
• Female
• Humans
• Liver Abscess, Pyogenic (diagnosis, drug therapy)
• Male
• Middle Aged
• Pancreatitis, Alcoholic (diagnosis, drug therapy, etiology)
• Stomatognathic Diseases (complications, diagnosis, drug therapy)
• Streptococcal Infections (complications, diagnosis, drug therapy)
• Streptococcus pyogenes (isolation & purification)
• Treatment Outcome