- 著者
- Kenichiro Yaita Ichiro Sameshima Hideaki Takeyama Shinpei Matsuyama Chie Nagahara Ryo Hashiguchi Yukiko Moronaga Nami Tottori Masanari Komatsu Yusuke Oshiro Yukihiro Yamaguchi
- 出版者
- 一般社団法人 日本内科学会
- 雑誌
- Internal Medicine (ISSN:09182918)
- 巻号頁・発行日
- vol.52, no.12, pp.1407-1412, 2013 (Released:2013-06-15)
- 参考文献数
- 25
- 被引用文献数
- 4 8
A 77-year-old man had undergone left-lobe liver resection and a choledochojejunostomy six years previously, and thereafter he suffered from a postoperative relapse of cholangitis. He was admitted to our hospital due to liver abscesses and bacteremia caused by multidrug-resistant Pseudomonas aeruginosa. Empirical treatment with piperacillin/tazobactam was started, and the patient initially recovered. However, he developed a second case of sepsis caused by piperacillin/tazobactam-resistant P. aeruginosa bacteremia originating from a new liver abscess. We changed the piperacillin/tazobactam to colistin and flomoxef and continued the two antibiotics for one month. During the antibiotic therapy, the patient successfully underwent bile duct stent placement.