case_images: PMC11753218_01
case_images: The CT scan revealed an abscess in the right lobe of the liver with multiple areas of pneumocephalus, an enlarged and distended prostate containing low-density lesions, and pelvic effusion. Bronchiectasis with infection was observed in the right lower lobe of the lung. Bilateral pleural effusion was present, along with distension of the lower lobes in both lungs.
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case_images: CT imaging revealed progression of the lung lesions (Figure 1). PET-CT examination showed combined lung infections with lung abscess formation and a large low-density lesion in the right lobe of the liver following liver abscess drainage; the prostate was found to be enlarged with decreased density, suggesting inflammatory changes (Supplementary Figure S1).
case_images: The CT scan revealed minimal improvement in the lung and prostate lesions, while the liver abscess showed significant resolution.
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case_images: After 10 days of antimicrobial therapy, follow-up CT showed minimal improvement in the lung and prostate lesions but some progress in the liver abscess (Figure 2). A chest CT confirmed significant improvement in the lung lesion (Supplementary Figure S2).
case_images: The CT scan revealed no significant improvement in the lung lesions, liver abscess, or prostate lesions.
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case_images: Due to limited symptomatic improvement, the antibiotic regimen was adjusted to "cefoperazone sodium-sulbactam sodium combined with levofloxacin administered via intravenous drip, and amikacin via aerosol inhalation." Five days later, a CT scan showed improvement in both the lung lesion and liver abscess, though the prostate lesion remained unchanged (Figure 3).
case_images: The CT scan revealed significant resolution of the lung and liver abscesses, while the prostate abscess showed only slight improvement.
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case_images: A follow-up CT scan 1 month later revealed marked improvement in both the lung lesion and liver abscess, with some improvement in the prostate abscess (Figure 4).