The patient underwent a "pull" percutaneous endoscopic placement of the a-tube.During this procedure, prophylactic antibiotics are given to the patient.The patient was successful implanted without any issues or concerns and sent home to recover.Patient was seen 1 week later and the stoma site observed, staff indicated the site looked good.Approximately one month after that visit the patient returned from travel and contacted the physician.Patient was admitted to the hospital and started on iv antibiotics.A hepatic abscess was diagnosed and tee performed.The abscess was cultured and found to be strep intermedius.Patient remained in the hospital for 16 days and was discharged to home care and continued antibiotic treatment until (b)(6) 2020.Patient is expected to make a full recovery.
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