Liver abscess caused by Gram-negative spiral bacilli

摘要

A man in his eighties presenting high fever accompanyingright flank pain visited us. He had had an episode of severalweeks of diarrhoea a month previously. Laboratoryanalysis showed an elevation of serum C-reactive protein(9.55 mg dl1), and enhanced computed tomographyshowed a hepatic mass suggesting liver abscess (Fig. 1a). Puswas drained through percutaneous paracentesis, and Gramstaining of the purulent material was performed (Fig. 1b).