[A brain abscess as a complication of hepatopulmonary syndrome coexisting with interstitial pneumonia].

Toyoshi Yanagihara, Atsushi Moriwaki, Nanae Seki, Kentaro Akata, Tomotoshi Imanaga

研究成果: ジャーナルへの寄稿記事

3 引用 (Scopus)


A 76-year-old woman with a 20-year history of chronic hepatitis C was referred to our hospital for worsening exertional dyspnea. She had been given a diagnosis of interstitial pneumonia based on chest computed tomography findings 5 years previously. Contrast-enhanced echocardiography confirmed an intrapulmonary right-to-left shunt, and therefore we diagnosed hepatopulmonary syndrome comorbid with interstitial pneumonia. In July 2009 she was admitted to our hospital with a low grade fever, headache, and vomiting. We diagnosed a left cerebellar brain abscess caused by Streptococcus intermedius. She underwent stereotactic burr-hole drainage and received vancomycin, piperacillin and cefotaxime. Cases of brain abscess secondary to hepatopulmonary syndrome are rare. Nevertheless, we should be aware of this complication of hepatopulmonary syndrome.

ジャーナルNihon Kokyūki Gakkai zasshi = the journal of the Japanese Respiratory Society
出版物ステータス出版済み - 7 1 2011


All Science Journal Classification (ASJC) codes

  • Medicine(all)