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KMID : 0882420190940040375
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Korean Journal of Medicine
2019 Volume.94 No. 4 p.375 ~ p.378
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Extensive Pylephlebitis and a Liver Abscess Combined with Streptococcus Intermedius Sepsis
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Song Jeong-Eun
Kim Byung-Seok
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Abstract
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Pylephlebitis (septic thrombophlebitis of the portal venous system) is a rare but serious complication of intra-abdominal infections that drain into the portal venous system. Its diagnosis is based on imaging; computed tomography may reveal a thrombus in the portal vein. Bacteremia may also be evident. As the symptoms are nonspecific, early clinical diagnosis is difficult, and delayed treatment can compromise outcomes. We report a case with extensive pylephlebitis and a liver abscess associated with Streptococcus intermedius sepsis; the case was treated successfully with antibiotics and anticoagulants. Such cases have not been widely reported.
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KEYWORD
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Thrombophlebitis, Liver abscess, Streptococcus intermedius
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