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Case Report



Pyogenic liver abscesses and symptomatic hypercalcemia: The report of an unusual association

Ibrahim Masoodi, Touseef Ahmad Sirwal, Nisar ul Hassan Malik, Charanjit Singh.




Abstract
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Hypercalcemia is usually caused by primary hyperparathyroidism or malignancy, a number of other conditions can be important to consider. Of the infectious causes of hypercalcemia described in the literature Staphylococcus aureus leading to hypercalcemia has not been reported so far. The clinical scenario of a 53-year-old female is discussed in this report who presented with fever and drowsiness. On evaluation was found to have hypercalcemia and pyogenic liver abscesses. No known cause of hypercalcemia could be identified in this patient after a thorough evaluation. The blood cultures were suggestive of S. aureus and following successful treatment with antibiotics, her liver abscesses improved and she was discharged with normal serum calcium levels, connoting the cause and effect relationship.

Key words: Staphylococcus Sepsis; Pyogenic Abscesses; Hypercalcemia






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