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Case Reports
. 2024 Jul 27;16(7):e65542.
doi: 10.7759/cureus.65542. eCollection 2024 Jul.

An Unusual Presentation of Monofocal Methicillin-Resistant Staphylococcus aureus Hepatic Abscess in an Otherwise Healthy Man

Ermal Hasalliu  1 , Rita Rehana  2 , Majid Hanna  1 , Mohammed Barawi  3
Affiliations
Case Reports

An Unusual Presentation of Monofocal Methicillin-Resistant Staphylococcus aureus Hepatic Abscess in an Otherwise Healthy Man

Ermal Hasalliu et al. Cureus. .

Abstract

A hepatic abscess is the collection of suppurative matter within the parenchyma of the liver. While most pyogenic liver abscesses (PLAs) are polymicrobial in nature, some rare cases are caused by methicillin-resistant Staphylococcus aureus (MRSA). We present a case of a 43 year-old male without evident exposures who presented with abdominal pain and via CT imaging was found to have monofocal MRSA hepatic abscess. An ultrasonography (US)-guided abscess drainage along with a pigtail catheter placement was performed along with antibiotic initiation. This article emphasizes the clinical manifestations of hepatic abscesses and employs literature reviews to offer a comprehensive approach to managing these patient populations.

Keywords: liver abscess aspiration; liver abscess drainage; methicillin resistant staphylococcus aureus (mrsa); mrsa hepatic abscess; pyogenic hepatic abscess.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Hepatic abscess found on CT abdomen/pelvis with IV contrast on admission (blue circle)
Figure 2
Figure 2. Near complete resolution of hepatic abscess 45 days post intervention (yellow arrow)
See this image and copyright information in PMC

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