Hepatic Hydrothorax: Indwelling Catheter-Related Acinetobacter Radioresistens Infection

Cruz, C; Tosatto, V; Nascimento, P; Barata Moura, R

http://hdl.handle.net/10400.17/4236

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Abstract(s)

Hepatic hydrothorax, a rare and debilitating complication of cirrhosis, carries high morbidity and mortality. First-line treatment consists of dietary sodium restriction and diuretic therapy. Some patients, mainly those who are refractory to medical management, will require invasive pleural drainage. The authors report the case of a 76-year-old man in a late cirrhotic stage of alcoholic chronic liver disease, presenting with recurrent right-sided hepatic hydrothorax, portal hypertension, hepatosplenomegaly and thrombocytopaenia. After recurrent admissions and complications, the potential for adjusting diuretic therapy was limited. After unsuccessful talc pleurodesis, an indwelling tunnelled pleural catheter was placed with effective symptomatic control. One month later, the patient was readmitted with empyema due to Acinetobacter radioresistens Despite optimised medical and surgical treatment, the patient died 4 weeks later.

Keywords

HSM MED Aged Humans Male Acinetobacter Acinetobacter Infections / etiology* Catheters, Indwelling / adverse effects* Hydrothorax / diagnostic imaging Hydrothorax / etiology Hydrothorax / therapy Radiography Liver Cirrhosis, Alcoholic / complications