[1]First Hospital of Jilin University, Changchun, China.
Background: It is rare that fever is the first symptom of metastatic liver tumor, however, it is common that fever is the main symptom of liver abscess. With the abuse of antibiotics, the symptoms of the liver abscess is more and more atypical, their similarity in symptoms and radioactive images lead to the misdiagnosis between liver abscess and metastatic liver tumor, we report a case report which fever is the first symptom of metastatic liver tumor of cervical cancer was misdiagnosed liver abscess. Methods: A 45-year-old female presented with fever. White blood cell is 14.30 × 10(9)/L s, Abdominal enhanced computed tomography showed a 10.0-cm-diameter intra the liver, when we have a antiinfectious treatment, the temperature of the patient did not decrease, in the end, we start a liver biopsy under the ultrasound, the pathology of the lesion is squamous-cell carcinoma. Result: The similarity in sympotoms and radioactive images lead to the misdiagnosis between liver abscess and matastatic liver tumor. Conclusion: All-around analysis of clinical symptoms, laboratory tests and radioactive images are important to avoid misdiagnosis and mortality.
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