• Moxalactam, a third-generation cephalosporin, has been demonstrated to have an ultrawide spectrum of antibacterial activity. One important gap in this impressive spectrum is the enterococcus. Superinfections and colonization with enterococci have been reported following moxalactam therapy. Sites involved have included the urinary tract, wounds, middle ear, and blood stream. To our knowledge, we report the first case of enterococcal liver abscess following moxalactam therapy. The abscess was localized by ultrasound examination and microbiologic diagnosis made by aspiration using a skinny needle. Without surgical drainage or therapeutic aspiration, institution of appropriate antibiotic therapy in optimum dosage resulted in complete resolution. The literature on enterococcal superinfections in association with moxalactam therapy and nonsurgical management of liver abscesses is reviewed.
(Arch Intern Med 1983;143:1780-1781)
Thomas CT, Berk SL, Thomas E. Enterococcal Liver Abscess Associated With Moxalactam TherapyReview of Literature on Enterococcal Superinfections in Association With Moxalactam Therapy. Arch Intern Med. 1983;143(9):1780–1781. doi:10.1001/archinte.1983.00350090158027
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