A Rare Case of Necrotizing Pneumonia and Pleural Empyema Secondary to Transdiaphragmatic Extension and Perforation of a Pyogenic Liver Abscess

• Published in: Curēus (Palo Alto, CA) Vol. 16; no. 9; p. e70273
• Main Authors: Mendes, Jorge, Santos, Miguel G, Dias, Gonçalo, Marinho, Ricardo, Henriques, Fernando
• Format: Journal Article
• Language: English
• Published: United States Cureus 26.09.2024
• Subjects: Emergency Medicine; General Surgery; Infectious Disease; pyogenic abscess; klebsiella pneumoniae (kp); necrotizing pneumonia; pleural empyema; liver abscess; emergency medicine

This article presents a rare case of an elderly patient with diabetes and hypertension who developed a primary pyogenic liver abscess (PLA) that subsequently disseminated to the lungs by contiguity, resulting in diaphragmatic perforation complicated by necrotizing pneumonia, hepatobronchial fistula,...