Successful Management of Aspergillus Liver Abscess in a Patient with Necrotizing Fasciitis
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Invasive Aspergillus infections are among the infectious diseases with the highest mortality and mainly cause diseases in immunocompromised hosts [1, 2]. Notably, the organism can also cause severe surgical site infections [3, 4, 5]. As filamentous fungi are airborne pathogens, in most cases pulmonary infection represents the initial manifestation, with subsequent spread to other organs if the infection cannot be controlled at an early stage . Therefore, liver aspergillosis is seen in most cases if the fungus causes disseminated disease. Liver abscesses of other origin are extremely rare [7, 8]. The spread from an intra-abdominal site through the portal vein is even less likely. Open abdominal treatment is a viable option to control severe intra-abdominal infection or pancreatitis and is also indicated in the case of necrotizing fasciitis of the abdominal wall . The vacuum-assisted closure (VAC) system has been shown to be a useful tool in this setting . The...
KeywordsAspergillus Liver abscess Caspofungin Voriconazole Necrotizing fasciitis Interventional radiology
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