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Radiological Case of the Month

Radiological Case of the Month Abstract CLINICAL HISTORY.—This 11-year-old Negro girl was admitted to the hospital following an automobile accident in which she received a closed fracture of the right femur and clavicle, multiple superficial abrasions, and blunt trauma to the abdomen. Thirty-six hours following admission she complained of severe pain in the right upper quadrant of the abdomen associated with a temperature of 106 F (41.1 C), Salmonella B bacteremia, and a falling hematocrit reading. Exploratory laparotomy revealed a large laceration involving the entire right lobe of the liver and extending into the left lobe with no active bleeding sites. Drains were placed anteriorly and posteriorly and were removed on the 12th postoperative day. Although the patient was given ampicillin and kanamycin sulfate, cultures of blood, tracheal aspirate, and urine on the 7th postoperative day, obtained because of temperature spike, grew Klebsiella-Enterobacter. Antibiotic treatment was changed to chloramphenicol, but as Klebsiella bacteremia persisted, References 1. Dehner LP, Kissane JM: Pyogenic hepatic abscesses in infancy and childhood . J Pediat 74:763-773, 1969.Crossref 2. Sparkman RS, Fogelman MJ: Wounds of the liver . Ann Surg 139:690-713, 1954.Crossref 3. Wintrobe MM, et al: Harrisons Principles of Internal Medicine . New York, McGraw-Hill Book Co Inc, 1970, p 1561. 4. Meschan I: Roentgen Signs in Clinical Diagnosis . Philadelphia, WB Saunders Co, 1956, p 779. 5. Bockus HL: Gastroenterology . Philadelphia, WB Saunders Co, 1946, p 286. 6. Caffey J: Pediatric X-Ray Diagnosis . Chicago, Year Book Medical Publishers Inc, 1967. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

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References (6)

Publisher
American Medical Association
Copyright
Copyright © 1972 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1972.02110070099013
Publisher site
See Article on Publisher Site

Abstract

Abstract CLINICAL HISTORY.—This 11-year-old Negro girl was admitted to the hospital following an automobile accident in which she received a closed fracture of the right femur and clavicle, multiple superficial abrasions, and blunt trauma to the abdomen. Thirty-six hours following admission she complained of severe pain in the right upper quadrant of the abdomen associated with a temperature of 106 F (41.1 C), Salmonella B bacteremia, and a falling hematocrit reading. Exploratory laparotomy revealed a large laceration involving the entire right lobe of the liver and extending into the left lobe with no active bleeding sites. Drains were placed anteriorly and posteriorly and were removed on the 12th postoperative day. Although the patient was given ampicillin and kanamycin sulfate, cultures of blood, tracheal aspirate, and urine on the 7th postoperative day, obtained because of temperature spike, grew Klebsiella-Enterobacter. Antibiotic treatment was changed to chloramphenicol, but as Klebsiella bacteremia persisted, References 1. Dehner LP, Kissane JM: Pyogenic hepatic abscesses in infancy and childhood . J Pediat 74:763-773, 1969.Crossref 2. Sparkman RS, Fogelman MJ: Wounds of the liver . Ann Surg 139:690-713, 1954.Crossref 3. Wintrobe MM, et al: Harrisons Principles of Internal Medicine . New York, McGraw-Hill Book Co Inc, 1970, p 1561. 4. Meschan I: Roentgen Signs in Clinical Diagnosis . Philadelphia, WB Saunders Co, 1956, p 779. 5. Bockus HL: Gastroenterology . Philadelphia, WB Saunders Co, 1946, p 286. 6. Caffey J: Pediatric X-Ray Diagnosis . Chicago, Year Book Medical Publishers Inc, 1967.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Jan 1, 1972

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