case_images: PMC3893836_01
case_images: (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.
case_images: CRIM.ID2013-676340.001.jpg
case_images: PMC3893836_01_CRIM.ID2013-676340.001.jpg
case_images: fig1
case_images: 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)).
case_images: Image of positive string test result caused by rmpA K. Pneumoniae.
case_images: CRIM.ID2013-676340.002.jpg
case_images: PMC3893836_01_CRIM.ID2013-676340.002.jpg
case_images: fig2
case_images: Additionally, the patient's bacterial isolate from blood had a positive string test result, indicating hypermucoviscosity phenotype (Figure 2).
case_images: 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.
case_images: CRIM.ID2013-676340.003.jpg
case_images: PMC3893836_01_CRIM.ID2013-676340.003.jpg
case_images: fig3
case_images: 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)).