Loading...
Pyogenic liver abscess (PLA), a rare entity, usually originates from ascending biliary infection but may also be cryptogenic or caused by hematogenous spreading from another focus, post-surgical complications, or superinfected hepatic lesions. Enterobacteriaceae, gram-positive cocci, and anaerobes are typically isolated from PLA. Do enterococci also play a role?
French researchers retrospectively reviewed 359 PLA cases treated at their institution from 2010 through 2019. Enterococci were isolated in 68 cases and were significantly associated with healthcare-related infection, underlying malignancy, malnutrition, ischemic cholangitis, and history of biliary surgery. E. faecalis and E. faecium were found in 47% and 41% of enterococcal cases, r…