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MULTIDRUG-RESISTANT COMBINED INFECTIONS IN A LIVER TRANSPLANTED PATIENT: CASE REPORT

AMEDEO CARRARO, UMBERTO MONTİN, PAOLA VİOLİ, FABİO SOLDANİ, ROMUALDO MAZZİ, MARA MERİGHİ, FAHEEM KANANİ, ERCOLE CONCİA, UMBERTO TEDESCHİ

Experimental and Clinical Transplantation - 2018;16(3):340-343

From the Department of General Surgery and Odontoiatrics, Liver Transplant Unit, Infectious Disease Unit, University Hospital of Verona, Verona, Italy

 

We report a case of successfully treated multiple liver abscesses in a liver-transplanted patient, sustained by combined multidrug-resistant infections. Two months after a liver transplant, a computed tomography scan revealed the presence of multiple abscesses in the liver graft. Blood cultures and abscessual liver fluid were both positive for acquired colistin- and carbapenemresistant Klebsiella pneumoniae and an extendedspectrum of beta-lactamases–producing Enterobacter aerogenes. The treatment strategy consisted of different prolonged antimicrobial combinations and draining of the abscesses with complete recovery of the liver lesions.