Multiple Retroperitoneal Abscesses Caused by Extended-Spectrum β-Lactamase-Producing Escherichia coli: A Case Report
Diagnosis and management of retroperitoneal abscesses caused by ESBL (Extended-Spectrum-β-Lactamase) Escherichia Coli require special attention. A female patient came to the Emergency Department with complaints of abdominal discomfort, bloating, nausea, fever, and urination pain for 1 week, and phy...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2022-11-01
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| Series: | Acta Medica Iranica |
| Subjects: | |
| Online Access: | https://acta.tums.ac.ir/index.php/acta/article/view/10252 |
| _version_ | 1811189115441381376 |
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| author | Maria Teressa Yongkie Iswandi Purnama Soroy Lardo |
| author_facet | Maria Teressa Yongkie Iswandi Purnama Soroy Lardo |
| author_sort | Maria Teressa |
| collection | DOAJ |
| description |
Diagnosis and management of retroperitoneal abscesses caused by ESBL (Extended-Spectrum-β-Lactamase) Escherichia Coli require special attention. A female patient came to the Emergency Department with complaints of abdominal discomfort, bloating, nausea, fever, and urination pain for 1 week, and physical examination demonstrated an enlarged mass in the left flank for the past 6 months. Laboratory results showed an increase in leukocytes and procalcitonin hence the antibiotic cefoperazone sulbactam was given as empirical therapy. An abdominal CT scan revealed multiple retroperitoneal abscesses in the left and right hemiabdomen, therefore levofloxacin and metronidazole were given as additional antibiotics. Percutaneous abscess drainage was performed and from the pus culture obtained grew ESBL Escherichia Coli bacteria. Furthermore, antibiotics were changed to intravenous amikacin according to the results of the susceptibility test. The patient's clinical symptoms improved significantly and she was discharged and evaluated in the outpatient clinic.
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| first_indexed | 2024-04-11T14:30:31Z |
| format | Article |
| id | doaj.art-09363b4278374f7eb23f43942fa606d8 |
| institution | Directory Open Access Journal |
| issn | 0044-6025 1735-9694 |
| language | English |
| last_indexed | 2024-04-11T14:30:31Z |
| publishDate | 2022-11-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Acta Medica Iranica |
| spelling | doaj.art-09363b4278374f7eb23f43942fa606d82022-12-22T04:18:38ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942022-11-0160910.18502/acta.v60i9.11103Multiple Retroperitoneal Abscesses Caused by Extended-Spectrum β-Lactamase-Producing Escherichia coli: A Case ReportMaria Teressa0Yongkie Iswandi Purnama1Soroy Lardo2Division of Tropical and Infectious Disease, Department of Internal Medicine, Gatot Soebroto Presidential Central Army Hospital, Jakarta, IndonesiaDivision of Tropical and Infectious Disease, Department of Internal Medicine, Gatot Soebroto Presidential Central Army Hospital, Jakarta, IndonesiaDivision of Tropical and Infectious Disease, Department of Internal Medicine, Gatot Soebroto Presidential Central Army Hospital, Jakarta, Indonesia Diagnosis and management of retroperitoneal abscesses caused by ESBL (Extended-Spectrum-β-Lactamase) Escherichia Coli require special attention. A female patient came to the Emergency Department with complaints of abdominal discomfort, bloating, nausea, fever, and urination pain for 1 week, and physical examination demonstrated an enlarged mass in the left flank for the past 6 months. Laboratory results showed an increase in leukocytes and procalcitonin hence the antibiotic cefoperazone sulbactam was given as empirical therapy. An abdominal CT scan revealed multiple retroperitoneal abscesses in the left and right hemiabdomen, therefore levofloxacin and metronidazole were given as additional antibiotics. Percutaneous abscess drainage was performed and from the pus culture obtained grew ESBL Escherichia Coli bacteria. Furthermore, antibiotics were changed to intravenous amikacin according to the results of the susceptibility test. The patient's clinical symptoms improved significantly and she was discharged and evaluated in the outpatient clinic. https://acta.tums.ac.ir/index.php/acta/article/view/10252Retroperitoneal abscessRenal abscessExtended-spectrum β-lactamaseEscherichia coliCase report |
| spellingShingle | Maria Teressa Yongkie Iswandi Purnama Soroy Lardo Multiple Retroperitoneal Abscesses Caused by Extended-Spectrum β-Lactamase-Producing Escherichia coli: A Case Report Acta Medica Iranica Retroperitoneal abscess Renal abscess Extended-spectrum β-lactamase Escherichia coli Case report |
| title | Multiple Retroperitoneal Abscesses Caused by Extended-Spectrum β-Lactamase-Producing Escherichia coli: A Case Report |
| title_full | Multiple Retroperitoneal Abscesses Caused by Extended-Spectrum β-Lactamase-Producing Escherichia coli: A Case Report |
| title_fullStr | Multiple Retroperitoneal Abscesses Caused by Extended-Spectrum β-Lactamase-Producing Escherichia coli: A Case Report |
| title_full_unstemmed | Multiple Retroperitoneal Abscesses Caused by Extended-Spectrum β-Lactamase-Producing Escherichia coli: A Case Report |
| title_short | Multiple Retroperitoneal Abscesses Caused by Extended-Spectrum β-Lactamase-Producing Escherichia coli: A Case Report |
| title_sort | multiple retroperitoneal abscesses caused by extended spectrum β lactamase producing escherichia coli a case report |
| topic | Retroperitoneal abscess Renal abscess Extended-spectrum β-lactamase Escherichia coli Case report |
| url | https://acta.tums.ac.ir/index.php/acta/article/view/10252 |
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