Clostridium septicum infections are generally associated with gastrointestinal or hematologic malignancies. We report the first case of hepatic metastases infection with Clostridium septicum that followed alcohol injection of liver lesion. Clinicians should consider this possibility in patients with underlying malignancy who present with hepatic abscess, as prompt surgical drainage and empiric ...

Hepatic abscess due to Brucella species is an extremely rare complication especially in acute illness. Here, we report a case of hepatic microabscesses probably caused by Brucella in a 33-year-old woman with acute infection who was successfully treated with a combination of doxycycline and rifampicin for 3 months.

Sir, Tuberculous liver abscess is rarely reported. In Hepatic tuberculosis, liver may be involved as part of miliary tuberculosis or as local tuberculosis without obvious extra hepatic disease.1 We recently came across tuberculous liver abscess in an immunocompetent patient with bilateral pulmonary tuberculosis. A 51 years old man presented with history of cough with expectoration, low grade fe...

BACKGROUND The objective of this study was to examine the current treatment for liver abscess and to assess the factors associated with failure of percutaneous drainage. STUDY DESIGN Records of 58 patients with pyogenic hepatic abscess, from 1998 to 2009, were examined. Clinicopathologic variables were analyzed as predictors of failure of percutaneous drainage using multivariable logistic reg...

Liver abscess after hepatic artery embolization is a rare but serious complication associated with significant morbidity and mortality. Here we report a 52-year-old case of chronic hepatitis B, liver cirrhosis and diabetes mellitus (DM) type 2 with a large gas forming liver abscess (11.4 cm) developed after transarterial chemoembolization (TACE) treatment for a large hepatocellular carcinoma (H...

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...

Serological test based on IHA (Indirect Haemagglutination Method) was performed in 100 cases of hepatic abscess. The test was 100% sensitive and 94% specific. The cut off point of antibody titer between normal population and patients with invasive amoebiasis was 1:128. Antibody titer in amoebic liver abscess was 1:5242 +/- 2795. A significant (P less than 0.001) correlation was found between to...

Figure 1. Top, An abdominal CT scan with contrast enhancement demonstrates a liver abscess at the lateral segment of the left hepatic lobe, with a linear fish bone (arrow) visible within the abscess. Bottom, A non–contrast-enhanced CT scan in oblique coronal reformation demonstrated that the fish bone was retained in the liver without any sequelae. prolonged courses of oral artesunate to our pa...

Amebiasis is typically an infection of the colon by the protozoan, Endamoeba histolytica. It may be acute or chronic and presents a varied clinical course. The most frequent symptom is diarrhea with small amounts of blood-streaked mucus, but stubborn constipation is not unusual. Often, constipation may alternate with diarrhea accompanied by tenesmus, lassitude, and a generalized vague abdominal...

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...