Multiple Medium Amoebic Liver Abscesses Successfully Treated with Medication and Comprehensive Percutaneous Catheter Drainage
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Veröffentlicht in: | Internal Medicine 2016/08/15, Vol.55(16), pp.2307-2310 |
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creator | Kasamatsu, Yu Shirano, Michinori Iida, Ko Shimizu, Sadatoshi Goto, Tetsushi |
description | Solitary small ( |
doi_str_mv | 10.2169/internalmedicine.55.5668 |
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However, the therapeutic indications for multiple medium (5-10 cm) amoebic liver abscesses remain unclear. We herein report the findings of a 53-year-old woman who was receiving lenalidomide for multiple myeloma and subsequently developed multiple amoebic abscesses. Metronidazole alone was unsuccessful, although metronidazole and repeated percutaneous catheter drainage of the right lobe, left lobe, and thorax proved to ultimately be successful. Therefore, the successful use of medication alone may be associated with the total combined abscess volume.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.55.5668</identifier><identifier>PMID: 27523014</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>abscess ; amoebic ; Catheterization - methods ; Drainage - methods ; Female ; Humans ; Immunologic Factors - adverse effects ; liver ; Liver Abscess, Amebic - chemically induced ; Liver Abscess, Amebic - drug therapy ; Liver Abscess, Amebic - pathology ; Liver Abscess, Amebic - therapy ; Metronidazole - therapeutic use ; Middle Aged ; multiple ; Multiple Myeloma - drug therapy ; Multiple Myeloma - pathology ; percutaneous drainage ; Thalidomide - adverse effects ; Thalidomide - analogs & derivatives</subject><ispartof>Internal Medicine, 2016/08/15, Vol.55(16), pp.2307-2310</ispartof><rights>2016 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c505t-fd0bbb56b84909d1169b6baa63d907de21e4a74ee42f36fd6fb759716999ccd03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1883,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27523014$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kasamatsu, Yu</creatorcontrib><creatorcontrib>Shirano, Michinori</creatorcontrib><creatorcontrib>Iida, Ko</creatorcontrib><creatorcontrib>Shimizu, Sadatoshi</creatorcontrib><creatorcontrib>Goto, Tetsushi</creatorcontrib><title>Multiple Medium Amoebic Liver Abscesses Successfully Treated with Medication and Comprehensive Percutaneous Catheter Drainage</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>Solitary small (<5 cm) amoebic liver abscesses in the right lobe are generally treated using medication alone, while large abscesses are typically treated via a combination of medication and drainage. However, the therapeutic indications for multiple medium (5-10 cm) amoebic liver abscesses remain unclear. We herein report the findings of a 53-year-old woman who was receiving lenalidomide for multiple myeloma and subsequently developed multiple amoebic abscesses. Metronidazole alone was unsuccessful, although metronidazole and repeated percutaneous catheter drainage of the right lobe, left lobe, and thorax proved to ultimately be successful. Therefore, the successful use of medication alone may be associated with the total combined abscess volume.</description><subject>abscess</subject><subject>amoebic</subject><subject>Catheterization - methods</subject><subject>Drainage - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Immunologic Factors - adverse effects</subject><subject>liver</subject><subject>Liver Abscess, Amebic - chemically induced</subject><subject>Liver Abscess, Amebic - drug therapy</subject><subject>Liver Abscess, Amebic - pathology</subject><subject>Liver Abscess, Amebic - therapy</subject><subject>Metronidazole - therapeutic use</subject><subject>Middle Aged</subject><subject>multiple</subject><subject>Multiple Myeloma - drug therapy</subject><subject>Multiple Myeloma - pathology</subject><subject>percutaneous drainage</subject><subject>Thalidomide - adverse effects</subject><subject>Thalidomide - analogs & derivatives</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUtv1DAUhS0EokPhLyAv2WRqO3YSL0fDq9JURWq7tvy4YVw5yWA7RV3w3_E0ZRaIBRvb0v3Oudf3IIQpWTPayAs_ZoijDgM4b_0IayHWomm6F2hFay6rltXiJVoRSbuKleMMvUnpnpC6ayV7jc5YK1hNKF-hX1dzyP4QAF8Vr3nAm2EC4y3e-QeIeGOShZQg4ZvZHl_9HMIjvo2gMzj80-f9k9Dq7KcR69Hh7TQcIuxhTMUBf4No56xHmOaEtzrvoUyOP0btR_0d3qJXvQ4J3j3f5-ju86fb7ddqd_3lcrvZVVYQkaveEWOMaEzHJZGOlhWYxmjd1E6S1gGjwHXLATjr66Z3TW9aIduCSWmtI_U5-rD4HuL0Y4aU1eDLx0JYBlO0E5RxyQn_D5TSjjMh6oJ2C2rjlFKEXh2iH3R8VJSoY07q75yUEOqYU5G-f-4ym1I8Cf8EU4DrBbhPuSzqBOiYvQ3wT2faPPkvLU6k3euoYKx_A4fss8M</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Kasamatsu, Yu</creator><creator>Shirano, Michinori</creator><creator>Iida, Ko</creator><creator>Shimizu, Sadatoshi</creator><creator>Goto, Tetsushi</creator><general>The Japanese Society of Internal Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7T5</scope><scope>H94</scope></search><sort><creationdate>20160101</creationdate><title>Multiple Medium Amoebic Liver Abscesses Successfully Treated with Medication and Comprehensive Percutaneous Catheter Drainage</title><author>Kasamatsu, Yu ; Shirano, Michinori ; Iida, Ko ; Shimizu, Sadatoshi ; Goto, Tetsushi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c505t-fd0bbb56b84909d1169b6baa63d907de21e4a74ee42f36fd6fb759716999ccd03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>abscess</topic><topic>amoebic</topic><topic>Catheterization - methods</topic><topic>Drainage - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Immunologic Factors - adverse effects</topic><topic>liver</topic><topic>Liver Abscess, Amebic - chemically induced</topic><topic>Liver Abscess, Amebic - drug therapy</topic><topic>Liver Abscess, Amebic - pathology</topic><topic>Liver Abscess, Amebic - therapy</topic><topic>Metronidazole - therapeutic use</topic><topic>Middle Aged</topic><topic>multiple</topic><topic>Multiple Myeloma - drug therapy</topic><topic>Multiple Myeloma - pathology</topic><topic>percutaneous drainage</topic><topic>Thalidomide - adverse effects</topic><topic>Thalidomide - analogs & derivatives</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kasamatsu, Yu</creatorcontrib><creatorcontrib>Shirano, Michinori</creatorcontrib><creatorcontrib>Iida, Ko</creatorcontrib><creatorcontrib>Shimizu, Sadatoshi</creatorcontrib><creatorcontrib>Goto, Tetsushi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kasamatsu, Yu</au><au>Shirano, Michinori</au><au>Iida, Ko</au><au>Shimizu, Sadatoshi</au><au>Goto, Tetsushi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multiple Medium Amoebic Liver Abscesses Successfully Treated with Medication and Comprehensive Percutaneous Catheter Drainage</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>55</volume><issue>16</issue><spage>2307</spage><epage>2310</epage><pages>2307-2310</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>Solitary small (<5 cm) amoebic liver abscesses in the right lobe are generally treated using medication alone, while large abscesses are typically treated via a combination of medication and drainage. However, the therapeutic indications for multiple medium (5-10 cm) amoebic liver abscesses remain unclear. We herein report the findings of a 53-year-old woman who was receiving lenalidomide for multiple myeloma and subsequently developed multiple amoebic abscesses. Metronidazole alone was unsuccessful, although metronidazole and repeated percutaneous catheter drainage of the right lobe, left lobe, and thorax proved to ultimately be successful. Therefore, the successful use of medication alone may be associated with the total combined abscess volume.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>27523014</pmid><doi>10.2169/internalmedicine.55.5668</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; PubMed Central Open Access; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; PubMed Central |
subjects | abscess amoebic Catheterization - methods Drainage - methods Female Humans Immunologic Factors - adverse effects liver Liver Abscess, Amebic - chemically induced Liver Abscess, Amebic - drug therapy Liver Abscess, Amebic - pathology Liver Abscess, Amebic - therapy Metronidazole - therapeutic use Middle Aged multiple Multiple Myeloma - drug therapy Multiple Myeloma - pathology percutaneous drainage Thalidomide - adverse effects Thalidomide - analogs & derivatives |
title | Multiple Medium Amoebic Liver Abscesses Successfully Treated with Medication and Comprehensive Percutaneous Catheter Drainage |
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