Article in Japanese

Successful treatment for recurrent multiple hepatic abscesses in chronic granulomatous disease with long-term antibiotic administration

Akihiro HOSHINO¹⁾, Hirokazu KANEGANE¹⁾, Naonori NISHIDA¹⁾, Keiko NOMURA¹⁾, Shoichi OHGA²⁾, Toshio MIYAWAKI¹⁾

A boy with p22^phox-deficient chronic granulomatous disease presented with hepatic abscesses at 10 and 14 years of age. While the effectiveness of surgery and antibiotics is reported, the surgical intervention for this patient was considered too risky. He was successfully treated with long-term antibiotics and low-dose prednisolone. Although an appropriate duration of antibiotics and appropriate management of chronic inflammation or granuloma formation remain unclear, conservative therapy may be effective for patients with inoperable hepatic abscesses.

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1) Department of Pediatrics, Graduate School of Medicine, University of Toyama
2) Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University

Key words
Received	January 26, 2012
Accepted	April 13, 2012

24 (2)：175─179,2012