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1/#IDMedEdCase by Drs. Hayon & @Bacteri_Al

50YOM w/ uncontrolled T2DM p/w RUQ pain x 2d and unintentional weight loss x 3m.

T 101F, HR 123, RUQ TTP w/o peritoneal signs, abd non-distended

WBC 18 (93% PMNs), Hb 8.9, ALP >700, ALT 60, Tbili wnl, Alb 2.7

CT A/P shows: Image
2/CT most suggestive of pyogenic liver abscesses.

What percentage of patients will also have positive blood cultures?
3/~50% have positive blood cultures 😱

On micro rounds you see the following....

dx.doi.org/10.4161%2Fviru… Image
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