VERNE E. GILBERT, M.D., F.A.C.P.
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To the editor: Drs. Sabbaj, Sutter, and Finegold may have overemphasized the importance of surgical drainage for the treatment of anaerobic liver abscesses in their recent clinical review of the problem (Ann Intern Med 77:629-638, 1972). We have had a case of multiple liver abscesses, secondary to Fusobacterium species, with recovery without surgery when the dose of penicillin was tailored to the organism.
A 22-year-old law student had several days of diarrhea followed by 3 weeks of fever. Findings on admission included a temperature of 37.8 °C [100 °F] a soft, enlarged spleen (2 finger-breadths), a positive Murphy's punch over
GILBERT VE. Anaerobic Liver Abscess: Medical Treatment. Ann Intern Med. ;78:303. doi: 10.7326/0003-4819-78-2-303_1
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Published: Ann Intern Med. 1973;78(2):303.
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