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Sepsis due to liver abscess diagnosed by ultrasound in the ICU
Sepsis debida a absceso hepático diagnosticada mediante ultrasonidos en la UCI
J.F. Muñoz Moreno
, E. Rubio Prieto, A. Peral Santos, L. Segovia García de Marina
Corresponding author
Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
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Rubio Prieto, A. Peral Santos, L. Segovia García de Marina" "autores" => array:4 [ 0 => array:4 [ "nombre" => "J.F." "apellidos" => "Muñoz Moreno" "email" => array:1 [ 0 => "juanfran9juanfran9@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Rubio Prieto" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Peral Santos" ] 3 => array:2 [ "nombre" => "L." "apellidos" => "Segovia García de Marina" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Hospital General Universitario de Ciudad Real, Ciudad Real, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Sepsis debida a absceso hepático diagnosticada mediante ultrasonidos en la UCI" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1361 "Ancho" => 3341 "Tamanyo" => 335914 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Left: liver ultrasound showing heterogeneous, predominantly hypoechoic area in liver segment 2, consistent with a liver abscess (yellow arrow). Right: abdominal computed tomography showing the similarity between the location, size and characteristics of the liver abscess on ultrasound and CT images (yellow circle).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 60-year-old man with a history of poorly controlled diabetes presented at the emergency department with a 1-week history of fever and chills. Empirical antibiotic treatment was started after obtaining samples for blood and urine for culture. The patient’s haemodynamic status worsened progressively, so he was admitted to the ICU. Point of care ultrasound (POCUS) was performed to identify the source of infection, and in the abdominal window a heterogeneous, predominantly hypoechogenic area was observed in liver segment 2, which appeared to be consistent with an abscess (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>, left). A catheter was placed to drain the abscess over a period of 6 h while the patient was in the ICU. <span class="elsevierStyleItalic">Klebsiella pneumoniae</span> was isolated in both blood and drainage fluid. The patient made good progress during his stay in the ICU. The figure shows the correlation between the ultrasound and the CT images (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>, right).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Authors’ contribution</span><p id="par0010" class="elsevierStylePara elsevierViewall">All four authors have contributed equally to the diagnosis and treatment of the patient and the design and writing of this manuscript.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Funding</span><p id="par0015" class="elsevierStylePara elsevierViewall">No funding.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflicts of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">No conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Authors’ contribution" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Funding" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1361 "Ancho" => 3341 "Tamanyo" => 335914 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Left: liver ultrasound showing heterogeneous, predominantly hypoechoic area in liver segment 2, consistent with a liver abscess (yellow arrow). Right: abdominal computed tomography showing the similarity between the location, size and characteristics of the liver abscess on ultrasound and CT images (yellow circle).</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/unassign/S2341192924000283/v1_202402280437/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/23411929/unassign/S2341192924000283/v1_202402280437/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192924000283?idApp=UINPBA00004N" ]
