epidural abscess of the spinal column is a rare condition that can be fatal if left untreated. it promptly progresses and can cause neurologic paralysis, urinary retention or cauda equina syndrome. compromised immune system that occurs in patients with diabetes mellitus, aids, chronic renal failure, alcoholism, or cancer is a predisposing factor. it mostly occurs in adults. here we would like t...

The author records the case histories of 27 patients suffering from liver abscess admitted during the period 1946-60 to the Radcliffe Infirmary, Oxford. Seventeen were examples of multiple and 10 of single abscess. In most cases the primary source was determinable. Despite there being only one survivor of the 10 patients with a solitary abscess, the author considers the condition easily curable...

BACKGROUND AND PURPOSE Discriminating pyogenic brain abscesses from cystic or necrotic tumors is sometimes difficult with CT or MR imaging. We compared findings of proton MR spectroscopy ((1)H-MRS) with those of diffusion-weighted imaging to determine which technique was more effective for this differential diagnosis. METHODS Fourteen patients (necrotic or cystic tumor [n = 7]; pyogenic absce...

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...

This condition is a result of bacterial infection reaching the portal tracts from an infective lesion in the portal drainage area and producing periportal inflammation which may proceed to suppuration. These cases provide a diagnostic and therapeutic problem which it is the object of this paper to discuss. The types of lesion which may occur may be divided into two groups: (1) pylephlebitis, an...

Liver abscess, due to amebic or pyogenic etiology, is a relatively common cause of right upper quadrant pain in the tropical countries. Imaging techniques, serological tests, image guided interventional procedures and appropriate therapeutic regimens have significantly reduced mortality; yet the disease is associated with many complications and can be fatal if untreated. Here we describe hepati...

Pyogenic liver abscess (PLA) is rare in healthy children. We report a case of PLA in an immunocompetent 12-year-old boy. Percutaneous catheter drainage was performed for the abscess. In addition, parenteral antibiotics were administered for 3 weeks. Klebsiella pneumoniae was detected in the culture of blood and drained fluid. Here, we present this case and a brief review of the literature on th...

OBJECTIVES The aim of this study was to identify the risk factors for developing extra-hepatic metastases from pyogenic liver abscesses. METHODS We conducted a retrospective study and reviewed 225 patients (age, 19-93 years) with a discharge diagnosis of pyogenic liver abscess from a large medical centre in Taiwan, between January 1995 and June 2000. Clinical data were collected from medical ...

While hepatic tuberculosis is rare, primary tubercular liver abscess (TLA) is a rarer condition even in endemic countries such as India. Liver abscess in portal cavernoma cholangiopathy (PCC) is predominantly pyogenic. A 14-year-old girl was found to have PCC with multiple liver abscesses. Persistent fever and development of neurological symptoms prompted further evaluation, and she was found t...

Pyogenic liver abscess (PLA) is the most frequent, potentially life-threatening type of visceral abscess, with an increasing incidence worldwide [1,2]. The etiologies and microbiological spectrum show distinct regional differences around the world. Klebsiella pneumoniae is the most common causative pathogen of PLA in eastern Asian countries [3-5], whereas Streptococcus spp. predominates in Euro...