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Multidisciplinary out‐patient treatment with monitoring by telemedicine for a large‐volume multifocal pyogenic liver abscess in times of the pandemic

Pyogenic liver abscesses represent one of the rarer, but potentially life‐threatening diseases of the liver. The treatment for large‐volume liver abscesses is usually multimodal with percutaneous drainage combined with several days of treatment in hospital. We are presenting a report on a male patie...

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Autores principales: Tebbe, Johannes J., Kulamadayil‐Heidenreich, Nidhi‐Su‐Ann, Heidenreich, Holger, Bongartz, Hans‐Georg, Tebbe, Sandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8543053/
https://www.ncbi.nlm.nih.gov/pubmed/34721853
http://dx.doi.org/10.1002/ccr3.4970
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author Tebbe, Johannes J.
Kulamadayil‐Heidenreich, Nidhi‐Su‐Ann
Heidenreich, Holger
Bongartz, Hans‐Georg
Tebbe, Sandra
author_facet Tebbe, Johannes J.
Kulamadayil‐Heidenreich, Nidhi‐Su‐Ann
Heidenreich, Holger
Bongartz, Hans‐Georg
Tebbe, Sandra
author_sort Tebbe, Johannes J.
collection PubMed
description Pyogenic liver abscesses represent one of the rarer, but potentially life‐threatening diseases of the liver. The treatment for large‐volume liver abscesses is usually multimodal with percutaneous drainage combined with several days of treatment in hospital. We are presenting a report on a male patient with type‐2 diabetes mellitus who suffered from a multifocal liver abscess (>10 cm). Due to the exceptional situation caused by the corona pandemic, the patient was treated conservatively with non‐standard treatment which involved a multidisciplinary team and out‐patient visits. Follow‐up to ensure the treatment would be successful was carried through dialogue with the GP responsible for the patient's care, as well as daily telemedicine visits. The daily telemedicine visits were supplemented by episodic follow‐up testing of laboratory values and contrast‐enhanced ultrasound scans (CEUS) of the liver. We show that purely conservative therapy can be successful in a case with a high risk of mortality by using a combination of close telemedical monitoring and proactive interdisciplinary collaboration with the GP.
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spelling pubmed-85430532021-10-29 Multidisciplinary out‐patient treatment with monitoring by telemedicine for a large‐volume multifocal pyogenic liver abscess in times of the pandemic Tebbe, Johannes J. Kulamadayil‐Heidenreich, Nidhi‐Su‐Ann Heidenreich, Holger Bongartz, Hans‐Georg Tebbe, Sandra Clin Case Rep Case Report Pyogenic liver abscesses represent one of the rarer, but potentially life‐threatening diseases of the liver. The treatment for large‐volume liver abscesses is usually multimodal with percutaneous drainage combined with several days of treatment in hospital. We are presenting a report on a male patient with type‐2 diabetes mellitus who suffered from a multifocal liver abscess (>10 cm). Due to the exceptional situation caused by the corona pandemic, the patient was treated conservatively with non‐standard treatment which involved a multidisciplinary team and out‐patient visits. Follow‐up to ensure the treatment would be successful was carried through dialogue with the GP responsible for the patient's care, as well as daily telemedicine visits. The daily telemedicine visits were supplemented by episodic follow‐up testing of laboratory values and contrast‐enhanced ultrasound scans (CEUS) of the liver. We show that purely conservative therapy can be successful in a case with a high risk of mortality by using a combination of close telemedical monitoring and proactive interdisciplinary collaboration with the GP. John Wiley and Sons Inc. 2021-10-25 /pmc/articles/PMC8543053/ /pubmed/34721853 http://dx.doi.org/10.1002/ccr3.4970 Text en © 2021 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Case Report
Tebbe, Johannes J.
Kulamadayil‐Heidenreich, Nidhi‐Su‐Ann
Heidenreich, Holger
Bongartz, Hans‐Georg
Tebbe, Sandra
Multidisciplinary out‐patient treatment with monitoring by telemedicine for a large‐volume multifocal pyogenic liver abscess in times of the pandemic
title Multidisciplinary out‐patient treatment with monitoring by telemedicine for a large‐volume multifocal pyogenic liver abscess in times of the pandemic
title_full Multidisciplinary out‐patient treatment with monitoring by telemedicine for a large‐volume multifocal pyogenic liver abscess in times of the pandemic
title_fullStr Multidisciplinary out‐patient treatment with monitoring by telemedicine for a large‐volume multifocal pyogenic liver abscess in times of the pandemic
title_full_unstemmed Multidisciplinary out‐patient treatment with monitoring by telemedicine for a large‐volume multifocal pyogenic liver abscess in times of the pandemic
title_short Multidisciplinary out‐patient treatment with monitoring by telemedicine for a large‐volume multifocal pyogenic liver abscess in times of the pandemic
title_sort multidisciplinary out‐patient treatment with monitoring by telemedicine for a large‐volume multifocal pyogenic liver abscess in times of the pandemic
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8543053/
https://www.ncbi.nlm.nih.gov/pubmed/34721853
http://dx.doi.org/10.1002/ccr3.4970
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