Multidisciplinary out‐patient treatment with monitoring by telemedicine for a large‐volume multifocal pyogenic liver abscess in times of the pandemic

Abstract Pyogenic liver abscesses represent one of the rarer, but potentially life‐threatening diseases of the liver. The treatment for large‐volume liver abscesses is usually multimodal with percutaneous drainage combined with several days of treatment in hospital. We are presenting a report on a m...

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Autores principales:	Johannes J. Tebbe, Nidhi‐Su‐Ann Kulamadayil‐Heidenreich, Holger Heidenreich, Hans‐Georg Bongartz, Sandra Tebbe
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	CEUS pyogenic liver abscess telemedicine Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/4ec0fdc803b64b13b6af3f11b02590d0
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spelling	oai:doaj.org-article:4ec0fdc803b64b13b6af3f11b02590d02021-12-02T07:55:57ZMultidisciplinary out‐patient treatment with monitoring by telemedicine for a large‐volume multifocal pyogenic liver abscess in times of the pandemic2050-090410.1002/ccr3.4970https://doaj.org/article/4ec0fdc803b64b13b6af3f11b02590d02021-10-01T00:00:00Zhttps://doi.org/10.1002/ccr3.4970https://doaj.org/toc/2050-0904Abstract Pyogenic liver abscesses represent one of the rarer, but potentially life‐threatening diseases of the liver. The treatment for large‐volume liver abscesses is usually multimodal with percutaneous drainage combined with several days of treatment in hospital. We are presenting a report on a male patient with type‐2 diabetes mellitus who suffered from a multifocal liver abscess (>10 cm). Due to the exceptional situation caused by the corona pandemic, the patient was treated conservatively with non‐standard treatment which involved a multidisciplinary team and out‐patient visits. Follow‐up to ensure the treatment would be successful was carried through dialogue with the GP responsible for the patient's care, as well as daily telemedicine visits. The daily telemedicine visits were supplemented by episodic follow‐up testing of laboratory values and contrast‐enhanced ultrasound scans (CEUS) of the liver. We show that purely conservative therapy can be successful in a case with a high risk of mortality by using a combination of close telemedical monitoring and proactive interdisciplinary collaboration with the GP.Johannes J. TebbeNidhi‐Su‐Ann Kulamadayil‐HeidenreichHolger HeidenreichHans‐Georg BongartzSandra TebbeWileyarticleCEUSpyogenic liver abscesstelemedicineMedicineRMedicine (General)R5-920ENClinical Case Reports, Vol 9, Iss 10, Pp n/a-n/a (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	CEUS pyogenic liver abscess telemedicine Medicine R Medicine (General) R5-920
spellingShingle	CEUS pyogenic liver abscess telemedicine Medicine R Medicine (General) R5-920 Johannes J. Tebbe Nidhi‐Su‐Ann Kulamadayil‐Heidenreich Holger Heidenreich Hans‐Georg Bongartz Sandra Tebbe Multidisciplinary out‐patient treatment with monitoring by telemedicine for a large‐volume multifocal pyogenic liver abscess in times of the pandemic
description	Abstract Pyogenic liver abscesses represent one of the rarer, but potentially life‐threatening diseases of the liver. The treatment for large‐volume liver abscesses is usually multimodal with percutaneous drainage combined with several days of treatment in hospital. We are presenting a report on a male patient with type‐2 diabetes mellitus who suffered from a multifocal liver abscess (>10 cm). Due to the exceptional situation caused by the corona pandemic, the patient was treated conservatively with non‐standard treatment which involved a multidisciplinary team and out‐patient visits. Follow‐up to ensure the treatment would be successful was carried through dialogue with the GP responsible for the patient's care, as well as daily telemedicine visits. The daily telemedicine visits were supplemented by episodic follow‐up testing of laboratory values and contrast‐enhanced ultrasound scans (CEUS) of the liver. We show that purely conservative therapy can be successful in a case with a high risk of mortality by using a combination of close telemedical monitoring and proactive interdisciplinary collaboration with the GP.
format	article
author	Johannes J. Tebbe Nidhi‐Su‐Ann Kulamadayil‐Heidenreich Holger Heidenreich Hans‐Georg Bongartz Sandra Tebbe
author_facet	Johannes J. Tebbe Nidhi‐Su‐Ann Kulamadayil‐Heidenreich Holger Heidenreich Hans‐Georg Bongartz Sandra Tebbe
author_sort	Johannes J. Tebbe
title	Multidisciplinary out‐patient treatment with monitoring by telemedicine for a large‐volume multifocal pyogenic liver abscess in times of the pandemic
title_short	Multidisciplinary out‐patient treatment with monitoring by telemedicine for a large‐volume multifocal pyogenic liver abscess in times of the pandemic
title_full	Multidisciplinary out‐patient treatment with monitoring by telemedicine for a large‐volume multifocal pyogenic liver abscess in times of the pandemic
title_fullStr	Multidisciplinary out‐patient treatment with monitoring by telemedicine for a large‐volume multifocal pyogenic liver abscess in times of the pandemic
title_full_unstemmed	Multidisciplinary out‐patient treatment with monitoring by telemedicine for a large‐volume multifocal pyogenic liver abscess in times of the pandemic
title_sort	multidisciplinary out‐patient treatment with monitoring by telemedicine for a large‐volume multifocal pyogenic liver abscess in times of the pandemic
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/4ec0fdc803b64b13b6af3f11b02590d0
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Multidisciplinary out‐patient treatment with monitoring by telemedicine for a large‐volume multifocal pyogenic liver abscess in times of the pandemic

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