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Table 1 Summary of case reports of liver abscesses due to lactobacilli strains

From: Liver abscess and bacteremia caused by lactobacillus: role of probiotics? Case report and review of the literature

Reference Age (years)/Sex Comorbidities Predisposing events Symptoms Labs Organism (site) Treatment Hospital stay length Outcomes
Chan (2010) [16] 74/M DM, HTN, remote history of tonsillar carcinoma Mirizzi syndrome (common hepatic duct obstruction secondary to external compression by gallstone) Fever, abdominal pain for 1 day. Leukocytosis, normal LFTs. L. rhamnosus (blood, pus, gallbladder) Percutaneous drainage, cholecystectomy, antibiotics (levofloxacin then both clarithromycin and metronidazole were added) 59 days Required ventilator for some time and discharge to rehabilitation.
Burns (2007) [17] 51/F None None Abdominal pain, vomiting for 2 weeks. Leukocytosis, elevated LFTs. L.paracasei (pus) Percutaneous drainage, antibiotics (meropenem with penicillin and gentamicin, then changed to clindamycin) 53 days Developed purpura fulminans. Required ventilator for some time and discharged.
Cukovic-Cavka (2006) [18] 27/M Crohn’s disease Steroid use Fever, diarrhea and fatigue. Leukocytosis. L.acidophilus (blood, pus) Percutaneous drainage, antibiotics (ciprofloxacin with metronidazole, then Augmentin with metronidazole) 63 days Discharged.
Notario (2003)* [15] 73/F DM N/A Fever N/A L.rhamnosus (blood, pus) Surgical drainage, antibiotics (ampicillin with gentamicin) N/A Discharged.
Rautio (1999) [19] 74/F DM, HTN Heavy dairy consumption. Fever, abdominal pain for 2 weeks. Leukocytosis. L.rhamnosus (pus) Percutaneous drainage, antibiotics (penicillin, then piperacillin/tazobactam, then ciprofloxacin and clindamycin) 42 days Complicated with pleural empyema which required surgical thoracotomy and decortication. Discharged.
Larvol (1996)* [14] 39/M DM, chronic pancreatitis, choledochoduodenostomy N/A Fever N/A L.acidophilus (blood, pus) Antibiotics (amoxicillin, gentamicin, augmentin) N/A Discharged.
Isobe (1990) [20] 75/M (HCC, Parkinson’s disease Intratumoral ethanol injection therapy for HCC Fever Intrahepatic gas by U/S and CT scan L.plantarum (blood) Antibiotics (piperacillin) 52 days (after developing fever) Discharged.
Sherid (2016) (the current case) 82/F DM,HTN, ESRD, cholecystectomy Cholecystectomy, probiotic use Fever, vomiting Leukocytosis, elevate LFTs, right pleural effusion N/A Percutaneous drainage, antibiotics (imipenem, vancomycin) 19 days Her hospital course was complicated by cardiac arrest which she survived but required long term ventilator. Discharged to nursing home on ventilator
  1. M male, F female, DM diabetes mellitus, ESRD end stage renal disease, HCC hepatocellular carcinoma, HTN hypertension, LFTs liver function tests, N/A not available. *In foreign language; some information from English abstracts