peliosis hepatis

Etiology: 1) Bartonella quintana 2) Bartonella henselae Pathology: - blood-filled cysts in the liver Clinical manifestations: 1) weight loss 2) abdominal pain 3) fever 4) nausea 5) may occur in association with bacillary angiomatosis Laboratory: 1) liver function tests are often abnormal 2) liver biopsy Radiology: 1) ultrasound 2) computed tomography Management: 1) erythromycin 2) erythromycin plus rifampin 3) erythromycin plus gentamicin 4) ceftriaxone plus gentamicin 5) doxycycline plus gentamicin 6) treatment for 4 weeks

Related

bacillary angiomatosis Bartonella henselae (Rochalimaea henselae) Bartonella quintana (Rochalimaea quintana)

General

bacterial infection liver disease

References

Medical Knowledge Self Assessment Program (MKSAP) 11, American College of Physicians, Philadelphia 1998