TY - BOOK AU - Ala, A. AU - Safar-Aly, H. AU - Millar, A. TI - Metallic cough and pyogenic liver abscess PY - 2001/// N1 - NMUH Staff Publications; 13 N2 - <span style="font-size: 10pt;">The curious symptom of a metallic cough in association with a pyogenic hepatic abscess should heighten awareness of a fistula. We describe a 78-year-old female with severe diverticular disease, on long-term steroid treatment for polymyalgia rheumatica. She developed a pyogenic liver abscess, treated initially by antimicrobial therapy, and subsequently drained by ultrasound and computed tomography-guided percutaneous transhepatic pigtail catheterization. This was complicated by a fistulous communication between the abscess cavity and the bronchus, confirmed by radiology. After repeated attempts at drainage and antimicrobial therapy the abscess cavity, including the hepatobronchial fistula, resolved.</span> UR - https://www.ncbi.nlm.nih.gov/pubmed/11507364 UR - https://insights.ovid.com/pubmed?pmid=11507364 ER -