scholarly journals Streptococcus constellatus Causing Empyema and Sepsis, Necessitating Early Surgical Decortication

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
D. Chrastek ◽  
S. Hickman ◽  
D. Sitaranjan ◽  
I. Vokshi ◽  
O. Kakisi ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Respiratory Tract ◽  
Hospital Admission ◽  
Liver Failure ◽  
Acute Liver Failure ◽  
Gram Positive ◽  
Streptococcus Anginosus ◽  
Streptococcus Constellatus ◽  
Prolonged Hospital ◽  
Positive Coccus

Streptococcus constellatus is an oropharyngeal commensal Gram-positive coccus, frequently associated with the respiratory tract. S. constellatus is part of the Streptococcus anginosus or milleri group, which has traditionally been considered to have propensity to cause empyema and purulent abscesses, a property that is sometimes overlooked as the severity of infections it causes may have a varying degree. In this case, we present the case of a 54-year-old male with known liver cirrhosis who developed a severe empyema during an acute liver failure episode, requiring extensive decortication and prolonged hospital admission.

scholarly journals Subacute liver failure of unknown origin

2018 ◽  
Vol 146 (3-4) ◽  
pp. 200-202
Author(s):  
Dragan Delic ◽  
Nikola Mitrovic ◽  
Aleksandar Urosevic ◽  
Jasmina Simonovic ◽  
Ksenija Bojovic
Keyword(s):  
Liver Cirrhosis ◽  
Hepatic Encephalopathy ◽  
Liver Failure ◽  
Acute Liver Failure ◽  
Unknown Origin ◽  
Signs And Symptoms ◽  
Clinical Syndrome ◽  
Decompensated Liver Cirrhosis ◽  
Synthetic Function ◽  
Severe Liver Dysfunction

Introduction. Acute liver failure is rare and very complex clinical syndrome, the consequences of the sudden and severe liver dysfunction. There are several causes of this condition (viruses, medications, toxins, metabolic, autoimmune and malignant diseases), but etiological agent often remains undiscovered. Case Outline. A 40-year-old male patient got ill suddenly with signs and symptoms relevant for acute hepatitis, which was confirmed with biochemical analysis. The cause of acute liver failure was not determined. Despite all therapeutic measures, clinical course of the disease was bad: severe icterus, decreased synthetic function of the liver and hepatic encephalopathy developed. In the later, subacute course of the disease, developed ascites, episodes of hepatic encephalopathy and biochemical findings of chronic hepatocellular failure. After three months treatment, in hepatic coma, there was lethal outcome. Histopathological findings confirmed the diagnosis of decompensated liver cirrhosis of unknown origin. Conclusion. The cause of acute liver failure often remains unclear; potential causes should be looked for in infections with unknown viruses or in toxins exposure. The disease is most commonly presented as subacute failure with the development of liver cirrhosis. Survival rate is low.

Liver failure

2010 ◽  
pp. 2494-2505
Author(s):  
George F. Mells ◽  
Graeme J.M. Alexander
Keyword(s):  
Renal Function ◽  
Liver Cirrhosis ◽  
Hepatic Encephalopathy ◽  
Liver Injury ◽  
Liver Failure ◽  
Acute Liver Failure ◽  
Case History ◽  
Chronic Liver ◽  
Alcoholic Liver Cirrhosis ◽  
First Onset

Case History—A 53 yr old man, known to have alcoholic liver cirrhosis, now presenting with jaundice, ascites and deteriorating renal function. Case History—A 62 yr old man presenting with confusion and ascites. Liver failure occurs when loss of hepatic parenchymal function exceeds the capacity of hepatocytes to regenerate or repair liver injury. Acute liver failure is characterized by jaundice and prolongation of the prothrombin time in the context of recent acute liver injury. Acute liver failure is the syndrome of hepatic encephalopathy occurring within 8 weeks of the first onset of liver disease. Chronic liver failure is characterized by a chronic liver injury with one or more features of liver failure....

A SUPEROXIDE DISMUTASE MIMETIC WITH CATALASE ACTIVITY (EUK 8) AMELIORATES THE ACUTE LIVER FAILURE IN A MODEL OF GRAM-POSITIVE BACTERIAL SHOCK IN THE RAT.

Shock ◽  
2002 ◽  
Vol 18 (Supplement) ◽  
pp. 28
Author(s):  
J E Wang ◽  
M McDonald ◽  
G Øverland ◽  
S J Foster ◽  
A O Aasen ◽  
...  
Keyword(s):  
Superoxide Dismutase ◽  
Liver Failure ◽  
Acute Liver Failure ◽  
Catalase Activity ◽  
Gram Positive
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