Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 26, 2023; 11(27): 6515-6522
Published online Sep 26, 2023. doi: 10.12998/wjcc.v11.i27.6515
Blood purification for treatment of non-liquefied multiple liver abscesses and improvement of T-cell function: A case report
Zhi-Qiang Tang, Dan-Ping Zhao, A-Jing Dong, Hai-Bo Li
Zhi-Qiang Tang, Dan-Ping Zhao, A-Jing Dong, Hai-Bo Li, Intensive Care Unit, The Second Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang Province, China
Author contributions: Tang ZQ and Zhao DP contributed to manuscript writing, editing and data collection; Zhao DP contributed to data analysis; Dong AJ contributed to conceptualization and supervision; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hai-Bo Li, PhD, Doctor, Intensive Care Unit, The Second Affiliated Hospital of Harbin Medical University, No. 246 Xuefu Road, Nangang District, Harbin 150001, Heilongjiang Province, China. mzkicu@126.com
Received: May 31, 2023
Peer-review started: May 31, 2023
First decision: July 17, 2023
Revised: August 6, 2023
Accepted: August 23, 2023
Article in press: August 23, 2023
Published online: September 26, 2023
Core Tip

Core Tip: Non-liquefied multiple liver abscesses (NMLA) can lead to sepsis, septic shock, and sepsis-associated kidney injury (SA-AKI). Early treatment with continuous renal replacement therapy (CRRT) and hemoperfusion (HP) is particularly important when the patient is not a candidate for ultrasound-guided drainage or surgical intervention. The combination of CRRT and HP is used to control infections, reduce inflammation, and promote T-cell function. This case highlights the importance of holistic treatment in managing septic shock and SA-AKI caused by NMLA and the potential benefits of timely CRRT and HP therapy.