A "fishy" cough: hepatobronchial fistula due to a pyogenic liver abscess

N Z Med J. 2006 Mar 31;119(1231):U1906.

Abstract

A hepatobronchial fistula is an anatomic communication between the liver parenchyma and the bronchial tree. Major causes of such fistulae include inflammatory conditions resulting from obstruction of the biliary tract and infectious processes, such as pyogenic liver abscesses, amoebiasis, and hydatid cysts. We report a rare case of a patient (with a chronic, recurrent hepatic abscess) who suffered a persistent, productive cough resulting from a hepatobronchial fistula.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Bronchial Fistula / diagnosis
  • Bronchial Fistula / etiology*
  • Bronchial Fistula / metabolism
  • Chronic Disease
  • Clostridium Infections / complications
  • Clostridium Infections / drug therapy
  • Clostridium Infections / microbiology
  • Clostridium perfringens / isolation & purification
  • Cough / etiology*
  • Enterococcus faecalis / isolation & purification
  • Gram-Positive Bacterial Infections / complications
  • Gram-Positive Bacterial Infections / drug therapy
  • Gram-Positive Bacterial Infections / microbiology
  • Humans
  • Klebsiella Infections / complications
  • Klebsiella Infections / drug therapy
  • Klebsiella Infections / microbiology
  • Klebsiella pneumoniae / isolation & purification
  • Liver Abscess, Pyogenic / complications*
  • Liver Abscess, Pyogenic / drug therapy
  • Liver Abscess, Pyogenic / microbiology
  • Male
  • Middle Aged
  • Recurrence
  • Sputum / metabolism
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents