First Report of Liver Abscess Caused by Salmonella enterica Serovar

This is the first reported case of liver abscess attributable to Salmonella serovar Dublin infection and also the fourth case of Sal-monella liver abscess complicated with hepatocellular carcinoma reported since 1990. Drainage combined with intravenous an-tibiotics resulted in improvement, but recovery regressed again. Subsequent hepatic left lobectomy led to full recovery. CASE REPORT A 58-year-old man presented with chills and high fever (tem-perature, 40°C; blood pressure, 86/52 mm Hg) after interven-tional therapy (transarterial embolization) of hepatocellular car-cinoma operated on 15 February 2012 in our hospital. This patient was diagnosed with chronic hepatitis B 12 years ago, liver cirrhosis 6 years ago, and hepatocellular carcinoma 2 years ago. During the last 2 years, he received interventional therapy for hepatocellular carcinoma five times. He never took immunosuppressive drugs. On 15 February, he was diagnosed as having septic shock and received intravenous administration of cefoperazone-sulbactam immediately after blood was taken for bacterial cultures. The next day, pure growth of Salmonella enterica serovar Dublin was ob