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Article
January 1983

Pyogenic Liver Abscess

Author Affiliations

From the Department of Medicine, the Jewish Hospital of St Louis, and the Washington School of Medicine, St Louis.

Arch Intern Med. 1983;143(1):126-128. doi:10.1001/archinte.1983.00350010132022
Abstract

Thomas Eckert, MD, Junior Assistant Resident in Medicine, the Jewish Hospital of St Louis: An 88-year-old man had a medical history of loss of weight, anorexia, and altered mental status for a month as well as having a fever for three days. He had been hospitalized ten months before for a perforated duodenal ulcer that was plicated. After under-going an operation for the ulcer, a subphrenic abscess developed; it was surgically drained.

Physical examination disclosed an emaciated man who was responsive to painful stimuli only. The patient had a BP of 112/76 mm Hg, a heart rate of 104 beats per minute, respirations of 20/min, and a temperature of 39.2 °C. The patient's mucous membranes were dry; dry rales were noted at the base of the left lung. An abdominal examination disclosed mild, right-upper-quadrant tenderness. Neurologic evaluation showed decreased movement of the right lower extremity to painful stimuli. Deep tendon

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