| 000 | 01316cam a2200193 4500 | ||
|---|---|---|---|
| 001 | NMDX7397 | ||
| 008 | 120401t2001 xxu||||| |||| 00| 0 eng d | ||
| 100 | _aAla, A. | ||
| 240 | _aEuropean Journal of Gastroenterology & Hepatology | ||
| 245 | _aMetallic cough and pyogenic liver abscess | ||
| 260 | _c2001 | ||
| 500 | _aNMUH Staff Publications | ||
| 500 | _a13 | ||
| 520 | _a<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> | ||
| 700 | _aSafar-Aly, H. | ||
| 700 | _aMillar, A. | ||
| 856 | _uhttps://www.ncbi.nlm.nih.gov/pubmed/11507364 | ||
| 856 | _uhttps://insights.ovid.com/pubmed?pmid=11507364 | ||
| 999 |
_c76313 _d76313 |
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