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2014, Number 4

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Rev Mex Pediatr 2014; 81 (4)

Liver abscess in a neonate with catheterization of the umbilical vein

Escárraga VY, Fuentes EP, Quero HA, Hernández AJ, Reyes GU

Language: Spanish
References: 14
Page: 134-137
PDF size: 143.18 Kb.


ABSTRACT

Neonatal liver abscess associated with umbilical vein catheter (UVC) is rare and difficult clinical diagnosis so that imaging studies are essential. We report the case of a premature newborn of 35 weeks gestation with respiratory distress, installing a umbilical vein catheter. Subsequently develops tachypnea, abdominal distension, pain and progressive increase in PCR. Abdominal ultrasonography and tomography revealed solitary hepatic abscess, treated with meropenem and vancomycin for 21 days with favorable evolution.


REFERENCES

  1. Natalia P, Cristian GB. Caso clínico-radiológico. Rev Chil Pediatr. 2012; 83(6): 617-619.

  2. Simeunovic E, Arnold M, Sidler D, Moore SW. Liver abscess in neonates. Pediatr Surg Int. 2009; 25(2): 153-156.

  3. Moens E, Dooy JD, Jansens H, Lammens C, Op de Beeck B, Mahieu L. Hepatic abscesses associated with umbilical catheterisation in two neonates. Eur J Pediatr. 2013; 162: 406-409.

  4. Nahla AB, Ranjuni VS, Sirnivasagam M, Ebtehage EA. Liver abscess in preterm newborns following umbilical venous catheters. Med J Cairo Univ. 2009; 77(2): 189-192.

  5. Linde LM, Higashino SM, Berman G, Sapin SO, Emmanouilides GC. Umbilical vessel cardiac catheterization and angiocardiography. Circulation.1966; 34: 984-988.

  6. Green C, Yohannan MD. Umbilical arterial and venous catheters: placement, use, and complications. Neonatal Netw. 1998; 17(6): 23-28.

  7. Yiğiter M, Arda IS, Hiçsönmez A. Hepatic laceration because of malpositioning of the umbilical vein catheter: case report and literature review. J Pediatr Surg. 2008; 43(5): E39-41.

  8. Iliodromiti Z, Anastasiadis A, Varras M, Pappa KI, Siristatidis C, Bakoulas V. Monocyte function in the fetus and the preterm neonate: immaturity combined with functional impairment. Mediators of Inflammation. 2013: 1-5.

  9. Strunk T, Richmond P, Simmer K, Currie A, Levy O, Burgner D. Neonatal immune responses to coagulase-negative staphylococci. Curr Opin Infect Dis. 2007; 20(4): 370-375.

  10. M’hamdi K, Kabiri M, Karboubi L, Ghanimi Z, Barkat A. Neonatal liver abscess after umbilical venous catheter. Arch Pediatr. 2013; 20 (2): 196-198.

  11. Lam Hs, Li AM, Chu WC, Yeung CK, Fok TF. Mal-positioned umbilical venous catheter causing liver abscess in a preterm infant. Biol Neonate. 2005; 88(1): 54-56.

  12. Tan NWH, Sriram B, Rajadurai B. Neonatal hepatic abscess in preterm infant: a rare entity. Ann Acad Med Singapure. 2005; 34: 558-564.

  13. Lee SH, Tomlinson C, Temple M, Amaral J, Connolly BL. Imaging-guided percutaneous needle aspiration or catheter drainage of neonatal liver abscesses: 14-year experience. AJR Am J Roentgenol. 2008; 190(3): 612-622.

  14. Inglis GD, Davies MW. Prophylactic antibiotics to reduce morbidity and mortality in neonates with umbilical venous catheters. Cochrane Database Syst Rev. 2005; 19(4): CD004697.




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