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日本呼吸器学会英文誌 Respiratory Investigation
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Abstract

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Article in Japanese

Case Report

A case with right pyothorax and acute respiratory distress syndrome induced by percutaneous liver drainage

Yoshihiro Ohataa  Tsuyoshi Nakanoa  Yasuko Uehatab 

aDepartment of Respiratory Medicine, Tomakomai City Hospital
bDepartment of Gastroenteronomy Medicine, Tomakomai City Hospital

ABSTRACT

A 46-year-old man with a history of massive alcohol consumption was admitted to our hospital with fever and anorexia. Chest and abdominal computed tomography showed liver abscess and right pleural effusion. Acute respiratory distress syndrome and a massive increase in right pleural effusion developed 6 days later, following percutaneous drainage for liver abscess. Bacteroides fragilis was cultured from liver abscess fluid. Right pleural space drainage and administration of antibiotics, sivelestat sodium hydrate, and urinastatin were performed under artificial respiration, allowing the patient to recover from acute respiratory distress syndrome and pyothorax. Pyothorax and acute respiratory distress syndrome need to be recognized as potential complications of percutaneous liver drainage for liver abscess.

KEYWORDS

Liver abscess  Pyothorax  Acute respiratory distress syndrome  Percutaneous drainage 

Received 11 May 2011 / Accepted 11 Jan 2012

AJRS, 1(4): 327-331, 2012

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