Pyogenic Hepatic Abscess: Changing Therapy?

Pyogenic Hepatic Abscess: Changing Therapy?

high, and proper management continues to be a challenge. Appropriate systemic antibiotics and fungal agents as well as adequate surgical, percutaneous, or biliary drainage are required for the best results. Objective: The authors document changes in the etiology, diagnosis, bacteriology, treatment, and outcome of patients with pyogenic hepatic abscesses over the past 4 decades. Summary Backgrou...

PYOGENIC LIVER ABSCESS: REVIEW OF 54 CASES

Background: Historically open surgical drainage has been the treatment of choice for pyogenic liver abscess. The records of 54 patients with pyogenic liver abscess were reviewed to determine whether earlier diagnosis with current imaging tests and definitive treatment with antibiotics and aspiration drainage was an effective alternative to surgery. Methods: The clinical features, laborator...

Pyogenic Liver Abscess.

On examination, she was febrile, toxic and was complaining of pain in the shoulder joint. The examination of the shoulder joint was normal. Liver was enlarged 5 cm below the right costal margin and was tender. She did not have intercostal tenderness. The white cell count showed a neutrophil leucocytosis with a total count of 16.8 x 10 9 /L. Ultra sound scan of the abdomen revealed a large absce...

Solitary Pyogenic Liver Abscess.

[Pyogenic liver abscess].

At the turn of the century, the mortality from liver abscess was 100%. Surgical drainage reduced the mortality to 50 to 75% by 1930. Antibiotics led to a further reduction but there was little change in the mortality during the next 25 years until recently when the adoption of special localization techniques promised a great improvement. In the nineteenth century a common cause of liver abscess...