Case Report
Copyright ©2012 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Hepatol. Nov 27, 2012; 4(11): 319-321
Published online Nov 27, 2012. doi: 10.4254/wjh.v4.i11.319
Liver abscess after implantation of dental prosthesis
Gokhan Gungor, Murat Biyik, Hakki Polat, Hilal Ciray, Orhan Ozbek, Ali Demir
Gokhan Gungor, Murat Biyik, Hakki Polat, Hilal Ciray, Orhan Ozbek, Ali Demir, Department of Gastroenterology, Meram Faculty of Medicine, Konya University, 42080 Konya, Turkey
Author contributions: Gungor G wrote the article; Biyik M, Ciray H and Ozbek O followed and treated the patient; and Polat H and Demir A helped to write the article and did the language editing.
Correspondence to: Gokhan Gungor, MD, Department of Gastroenterology, Meram Faculty of Medicine, Konya University, 42080 Konya, Turkey. drgokhangungor@hotmail.com
Telephone: +90-332-2236913 Fax: +90-332-2236582
Received: January 14, 2012
Revised: September 6, 2012
Accepted: October 22, 2012
Published online: November 27, 2012
Abstract

Pyogenic liver abscesses are rare but a life-threatening important condition. Dental procedures constitute only rare cases of pyogenic liver abscesses, with only a few cases in the literature. We report a patient with liver abscess following a dental procedure. A 74 years old diabetic male patient was admitted to our hospital with complaints of fatigue, 40 °C fever, rigors and right upper quadrant pain, 3-4 d after a dental procedure. Physical examination revealed fever and tenderness in the right upper quadrant. Laboratory examination revealed leucocytosis, elevated erythrocyte sedimentation rate and C-reactive protein and moderately elevated transaminases. An abscess was detected in radiological examination in the medial part of the left lobe of liver, neighboring the gall bladder. He was successfully treated with percutaneous abscess drainage and antibiotherapy.

Keywords: Liver abscess; Dental procedures; Bacteremia; Immunosuppression; Abscess treatment