Skip to main content
. 2020 Feb 28;13(2):e233097. doi: 10.1136/bcr-2019-233097

Table 1.

Case reports of pyogenic liver abscesses associated with S t reptococcus intermedius bacteremia for the past 10 years on PubMed, including age and gender, chief complaint, number of liver abscesses, size of liver abscesses, antibiotic regimen and length of treatment1 3 8 9

Author and date Age and gender Presenting chief complaint Number and size of liver abscesses Treatment Total treatment length Outcome
1 Neumayr et al 1 18-year-old man RUQ abdominal pain and remittent fevers 3 (largest measuring 9.8×9.5×9.8 cm) Initial:
Intravenous imipenem and penicillin G (dosing not reported)
Final:
Oral levofloxacin and metronidazole
7 weeks Ultrasound of abdomen 35 days later showing minimal residual of one abscess, all others resolved
2 Livingston and Perez-Colon3 65-year-old man RUQ abdominal pain, diarrhoea, nausea and poor appetite 1 (10.2×7.4×9.4 cm) Initial:
Intravenous iprofloxacin 400 mg every 12 hours and intravenous metronidazole 500 mg every 8 hours
Final:
Intravenous ceftriaxone 2 g daily
4 weeks No follow-up imaging; significant clinical improvement
3 Tran et al 8 24-year-old man Fevers, chills, myalgias and abdominal pain Multiple-exact number and size unspecified Initial:
Intravenous ceftriaxone 2 g daily and azithromycin 500 mg daily
Final:
Penicillin 24 million units daily and low dose gentamicin
6 months No follow-up imaging; significant clinical improvement
4 Tran et al 8 53-year-old woman Nausea, vomiting, diarrhoea and weight loss Multiple-exact number unspecified (largest measuring 10×9.9 cm) Initial:
Imipenem 500 mg every 8 hours
Final:
Ceftriaxone 2 g daily
6 months CT abdomen/pelvis 6 months later showing resolution of liver abscesses
5 Reddy et al 9 50-year-old man Generalised abdominal pain, nausea, vomiting, diarrhoea and fever 4, size unspecified Initial:
Intravenous levofloxacin and intravenous metronidazole (dosing not reported)
Final:
Intravenous meropenem
6 weeks CT abdomen/pelvis 9 months later showing complete resolution of hepatic abscesses

RUQ, right upper quadrant.