PMC3893836_01
(a) Computed tomographic scan of the abdomen pelvis prior to IR drainage showing left liver abscess measuring 13.5 x 7.4 x 10.3 cm. (b) Computed tomographic scan of the abdomen pelvis 2 days after the IR drainage of 200 cc fluid, showing increase in abscess size to 16 x 7 cm. (c) Computed tomographic scan of the abdomen pelvis 5 weeks following left partial liver lobectomy and antibiotics showing abscess size reduced to 5.3 x 3.9 x 7 cm.
CRIM.ID2013-676340.001.jpg
PMC3893836_01_CRIM.ID2013-676340.001.jpg
fig1
CT scan of abdomen was obtained and revealed a multiloculated pyogenic liver abscess (13 x 7 x 10 cm) (Figure 1(a)). A repeat CT scan of abdomen/pelvis revealed that the liver abscess size had increased (16 x 7 cm) (Figure 1(b)). A repeat CT of abdomen/pelvis was obtained one month after her partial liver lobectomy (Figure 3), and it revealed that the liver abscess had reduced in size (Figure 1(c)).
Image of positive string test result caused by rmpA K. Pneumoniae.
CRIM.ID2013-676340.002.jpg
PMC3893836_01_CRIM.ID2013-676340.002.jpg
fig2
Additionally, the patient's bacterial isolate from blood had a positive string test result, indicating hypermucoviscosity phenotype (Figure 2).
A cut surface of the liver with tan white nodules of varying size. The lesions are characterized by liquefactive necrosis with degenerating and necrotic liver cells.
CRIM.ID2013-676340.003.jpg
PMC3893836_01_CRIM.ID2013-676340.003.jpg
fig3
A repeat CT of abdomen/pelvis was obtained one month after her partial liver lobectomy (Figure 3), and it revealed that the liver abscess had reduced in size (Figure 1(c)).