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Liver Abscess

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1. Liver abscess

, hepatic vein, or portal vein, by extension of an adjacent infection, or as a result of trauma. One or multiple abscesses can be present. Fungal liver abscess can occur in immunocompromised hosts. Amoebic liver abscess is a complication of amoebiasis. History and exam presence of risk factors fevers and chills RUQ tenderness hepatomegaly weight loss fatigue abdominal pain nausea and vomiting cough, shortness of breath, or chest pain jaundice signs of pleural effusion in the right lower zone signs (...) Liver abscess Liver abscess - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Liver abscess Last reviewed: February 2019 Last updated: March 2018 Summary A localised infection in the liver parenchyma that may be bacterial, fungal, or parasitic in origin. Patients typically present with non-specific constitutional symptoms, RUQ abdominal pain, and tenderness. The most common underlying condition in people with pyogenic

2018 BMJ Best Practice

3. Hepatic Abscess in a Returning Traveler with Crohn's Disease: Differentiating Amebic from Pyogenic Liver Abscess Full Text available with Trip Pro

Hepatic Abscess in a Returning Traveler with Crohn's Disease: Differentiating Amebic from Pyogenic Liver Abscess Liver abscess is a rare but serious complication of Crohn's disease. Patients with Crohn's disease are at risk for pyogenic liver abscesses due to immunosuppressive therapy, fistulous disease, and intraabdominal abscesses. Inflammatory bowel disease patients are also known to have a greater prevalence of amebiasis compared to the rest of the population; however, a higher incidence (...) of amebic liver abscess has not been reported. We describe a case of a liver abscess in a patient with Crohn's disease that was initially presumed pyogenic but later determined to be amebic in origin. Epidemiology, clinical presentation, diagnosis, and treatment of amebic and pyogenic liver abscesses are discussed.

2018 Case reports in medicine

4. Case Report: Spontaneous Resolution of Intracavitary Hepatic Artery Pseudoaneurysm Caused by Amebic Liver Abscess following Percutaneous Drainage. (Abstract)

Case Report: Spontaneous Resolution of Intracavitary Hepatic Artery Pseudoaneurysm Caused by Amebic Liver Abscess following Percutaneous Drainage. Intrahepatic pseudoaneurysm (IHPA) is generally iatrogenic, and it warrants urgent management because of its reportedly significant risk of rupture leading to considerable mortality. Intrahepatic pseudoaneurysm caused by amebic liver abscess (ALA) is exceedingly rare with fewer than seven published reports. All reported symptomatic cases have been (...) treated with hepatic artery embolization; therefore, little is known about its natural course and effect of abscess drainage on its outcome. We report the first case of symptomatic intracavitary IHPA caused by ALA in which ultrasound-guided percutaneous catheter drainage of the abscess resulted in the spontaneous resolution of the IHPA.

2019 American Journal of Tropical Medicine & Hygiene

5. Prevalence of cases of amebic liver abscess in a tertiary care centre in India: A study on risk factors, associated microflora and strain variation of Entamoeba histolytica. Full Text available with Trip Pro

Prevalence of cases of amebic liver abscess in a tertiary care centre in India: A study on risk factors, associated microflora and strain variation of Entamoeba histolytica. Amebiasis, caused by Entamoeba histolytica (E. histolytica), is a significant cause of morbidity and mortality in developing countries. Mortality due to amebiasis is mostly by extra intestinal infections, amebic liver abscess being the most common one. This study was conducted to determine the current epidemiological status (...) , risk factors, associated microflora and strain variation of E. histolytica causing liver abscesses.A total of 115 liver abscess cases comprising of 107 (93%) males and 8 (6.9%) females were included in the study. Microscopic examination of pus samples from the abscesses and species discrimination using nested multiplex PCR showed the presence of E. histolytica in 101 (87.5%) cases. Data collected by face to face interviews using a pre tested questionnaire suggested intake of untreated drinking

2019 PLoS ONE

6. Correction: Prevalence of cases of amebic liver abscess in a tertiary care centre in India: A study on risk factors, associated microflora and strain variation of Entamoeba histolytica. Full Text available with Trip Pro

Correction: Prevalence of cases of amebic liver abscess in a tertiary care centre in India: A study on risk factors, associated microflora and strain variation of Entamoeba histolytica. [This corrects the article DOI: 10.1371/journal.pone.0214880.].

2019 PLoS ONE

7. The aura of malignant tumor: Clinical analysis of malignant tumor-related pyogenic liver abscess. Full Text available with Trip Pro

The aura of malignant tumor: Clinical analysis of malignant tumor-related pyogenic liver abscess. The global incidence of pyogenic liver abscess (PLA) is increasing, but related reports of malignant tumor-related PLA are infrequent. Potential malignant tumors of PLA have been reported, but there is no relevant predictive model for this subsection of patients.To explore the risk factors of malignant tumor-related PLA.A retrospective analysis about a total of 881 patients who had been diagnosed (...) was mainly hepatobiliary malignant tumor, which occupies 72.3% (45/62) in all malignant tumor related PLA cases used to the model. Compared with nonmalignant tumor group, the rate of ineffective and mortality was higher in the malignant tumor group [19.4%(12/62) vs 7.5%(11/148), P = .01]. Multivariate analysis suggested that hepatobiliary interventional therapy or surgery, hepatitis B virus infection, multiple abscesses, portal embolism, and bile duct dilatation were independent risk factors

2020 Medicine

8. A CARE-compliant article: a case report of pleural empyema secondary to Klebsiella pneumoniae liver abscess with a hepatopleural fistula. Full Text available with Trip Pro

A CARE-compliant article: a case report of pleural empyema secondary to Klebsiella pneumoniae liver abscess with a hepatopleural fistula. Klebsiella pneumoniae liver abscess (KPLA) is often associated with accompanying metastatic complications such as septic pulmonary embolism, brain abscess, and endophthalmitis. Pleural empyema secondary to a KPLA is a very unusual finding, made even more rare with the presence of a hepatopleural fistula.An 81-year-old woman presented with aggravated (...) dyspnea.The patient was diagnosed with KPLA with empyema through computed tomography (CT) scan findings and pleural fluid culture.The empyema was drained by thoracostomy, and treatment with empirical antibiotics was initiated. After early removal of the chest tube, the liver abscess as well as the empyema increased. An additional liver abscess drainage procedure was performed.The fever resolved and dyspnea improved following drainage of effusion. Three days later, the follow-up chest radiograph showed

2020 Medicine

9. Malassezia Hepatic Abscess in a Neonate. (Abstract)

Malassezia Hepatic Abscess in a Neonate. Malassezia sp. require exogenous lipid for growth and can cause disseminated infection in neonates requiring intravenous lipid infusions. Usually, Malassezia infection in neonates presents as fungemia or hematogenous dissemination into bone or lungs. We present a presumed case of Malassezia liver abscess associated with lipid infusion via a mispositioned umbilical venous catheter.

2020 Pediatric Infectious Dsease Journal

10. Amoebic Liver Abscesses in Fiji: Epidemiology, Clinical Presentation and Comparison of Percutaneous Aspiration and Percutaneous Catheter Drainage. (Abstract)

Amoebic Liver Abscesses in Fiji: Epidemiology, Clinical Presentation and Comparison of Percutaneous Aspiration and Percutaneous Catheter Drainage. Amoebic liver abscess (ALA) is a common clinical problem in tropical countries related to poor sanitation. The epidemiology and clinical presentation of ALA in Fiji has not been previously described. It is unclear whether percutaneous aspiration (PA) or percutaneous catheter drainage (PCD) has better outcomes.The aims were to describe (...) abdominal pain and fevers. The majority (90.3%) had a single abscess with 87.8% being in the right lobe. 174 (66.4%) had LA and 88 (33.6%) had PCD. There was an unintended selection bias for PA in abscess with a volume of <1 litre. PA was associated with a more rapid resolution of fever and shorter hospital stay, more rapid resolution of the cavity and no morbidity. PCD had five complications, one bleed and four bile leaks. There was no mortality in either group.ALA in Fiji occurs in I-Taukei males who

2020 World Journal of Surgery

11. Successful surgical drainage with intraoperative ultrasonography for amebic liver abscess refractory to metronidazole and percutaneous drainage: a case report. Full Text available with Trip Pro

with intraoperative ultrasonography (IOUS).A 53-year-old man with high-grade fever was diagnosed with a cystic lesion on his right hepatic lobe using CT. Percutaneous drainage was performed, and antibacterial drugs were administered. However, the infection and condition of the patient worsened. Entamoeba histolytica was detected from pus within the mediastinal cavity. Hence, the patient was diagnosed with amebic liver abscess. After the diagnosis was established, we administered MNZ for 10 days. Despite (...) this, the patient's physical condition did not improve. Blood tests suggested impending disseminated intravascular coagulation (DIC). We performed surgical intervention to drain the amebic liver abscess refractory to conservative treatment. During surgery, imaging information from preoperative CT and IOUS enabled us to recognize the anatomical structures and determine the incision lines of the hepatic capsule and hepatic tissue. The patient's DIC immediately regressed after surgery. Unfortunately, malnutrition

2020 BMC Surgery

12. Liver abscess caused by fish bone perforation of Meckel's diverticulum: a case report. Full Text available with Trip Pro

Liver abscess caused by fish bone perforation of Meckel's diverticulum: a case report. Liver abscess due to gastrointestinal perforation by foreign bodies is rare. Furthermore, there are few case reports of liver abscess via the portal vein caused by perforation of the lower gastrointestinal tract by a foreign body.A 54-year-old man visited our hospital because of a fever that had lasted for 1 month. There were no physical findings except for the fever. Laboratory tests showed only elevated (...) inflammatory markers. Abdominal contrast-enhanced computed tomography revealed an abscess in the right lobe of the liver and a high-density object in the small intestine. We diagnosed him with liver abscess secondary to intestinal perforation by a foreign body. The patient underwent drainage of the liver abscess and laparoscopic surgery for perforation of the small intestine. A fish bone had perforated the top of Meckel's diverticulum, which had been covered by the ileal mesentery. We successfully

2020 BMC Surgery

13. Antibiotics after incision and drainage for uncomplicated skin abscesses Full Text available with Trip Pro

, such as infection with hepatitis C, hepatitis B, or HIV. The RCTs included children and adults. Almost all patients underwent incision and drainage for their skin abscess. The most common pathogen was MRSA (49-88%) followed by methicillin-sensitive Staphylococcus aureus (MSSA, 9-18%). Understanding the recommendation Absolute benefits and harms The infographic provides an overview of the recommendations and the absolute benefits and harms of different antibiotics. Estimates of the baseline risk for side effects (...) Antibiotics after incision and drainage for uncomplicated skin abscesses Antibiotics after incision and drainage for uncomplicated skin abscesses: a clinical practice guideline | The BMJ Intended for healthcare professionals Username * Password * Edition: Search form Search Search Antibiotics after... Antibiotics after incision and drainage for uncomplicated skin abscesses: a clinical practice guideline CC BY NC Open access (Published 06 February 2018) Cite this as: BMJ 2018;360:k243 Population

2018 BMJ Rapid Recommendations

14. Maxillary Teeth Abscesses Result in Atypical Liver Abscesses Full Text available with Trip Pro

Maxillary Teeth Abscesses Result in Atypical Liver Abscesses Hepatic liver abscesses are often misdiagnosed on initial presentation because pyogenic liver lesions are a rare occurrence in the United States. This leads to a delay in proper treatment and results in increasing morbidity and mortality. Our case report demonstrates the atypical presentation of a hepatic liver abscess in the elderly. The source of infection was found to be periapical abscesses of the teeth, which subsequently seeded

2018 Cureus

15. Society of Interventional Radiology Quality Improvement Standards for Image-Guided Percutaneous Drainage and Aspiration of Abscesses and Fluid Collections Full Text available with Trip Pro

., and Batakis, N. Potentially life-threatening neck abscesses: therapeutic management under CT-guided drainage. Cardiovasc Intervent Radiol . 2005 ; 28 : 196–199 , x 17 Wallace, M.J., Chin, K.W., Fletcher, T.B , and Society of Interventional Radiology (SIR). Quality improvement guidelines for percutaneous drainage/aspiration of abscess and fluid collections. J Vasc Interv Radiol . 2010 ; 21 : 431–435 , x 18 Yu, S.C., Ho, S.S., Lau, W.Y. et al. Treatment of pyogenic liver abscess: prospective randomized (...) –435 , x 18 Yu, S.C., Ho, S.S., Lau, W.Y. et al. Treatment of pyogenic liver abscess: prospective randomized comparison of catheter drainage and needle aspiration. Hepatology . 2004 ; 39 : 932–938 , x 20 Beland, M.D., Gervais, D.A., Levis, D.A., Hahn, P.F., Arellano, R.S., and Mueller, P.R. Complex abdominal and pelvic abscesses: efficacy of adjunctive tissue-type plasminogen activator for drainage. Radiology . 2008 ; 247 : 567–573 , x 21 Gee, M.S., Kim, J.Y., Gervais, D.A., Hahn, P.F., and Mueller

2020 Society of Interventional Radiology

16. Epidural abscess

reflexes isolated sphincter dysfunction intravenous drug use recent spinal surgery or trauma indwelling spinal catheter concomitant local infection immunosuppression diabetes mellitus male sex concomitant endocarditis alcohol abuse urinary tract infection (UTI) renal failure chronic renal disease chronic liver disease Diagnostic investigations FBC CRP erythrocyte sedimentation rate gadolinium-enhanced diffusion-weighted MRI spine blood cultures direct abscess aspiration for culture polymerase chain (...) Epidural abscess Epidural abscess - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Epidural abscess Last reviewed: February 2019 Last updated: July 2018 Summary Rare condition characterised by inflammation with pus within the epidural space. Recognised risk factors include diabetes mellitus, intravenous drug abuse, history of recent spinal surgery or trauma, indwelling spinal catheter, concomitant local infection

2018 BMJ Best Practice

17. Primary hepatic leiomyosarcoma presenting as a thick-walled cystic mass resembling a liver abscess: A case report. Full Text available with Trip Pro

Primary hepatic leiomyosarcoma presenting as a thick-walled cystic mass resembling a liver abscess: A case report. Hepatic leiomyosarcoma is a rare malignant tumor, and in rare instances, its combination with fever may lead to misdiagnosis of liver abscess. In our case, the presence of the tumor was considered by the presence of blood vessels through the observation of hepatic tumor wall.A 38-year-old woman who had been diagnosed with a liver abscess in a local hospital consulted our (...) institution by complaining left upper quadrant pain and fever. The diagnosis was questioned in our workup, since no obvious inflammatory marker was found in the circulation, and contrast-enhanced computed tomography revealed a huge thick-walled mass in the right liver with multiple tortuous vessels within the wall.Imaging revealed a neoplastic lesion rather than liver abscess. The enhancement of the solid tumor tissues was reduced during the portal phase and delayed phase, which was consistent with a wash

2018 Medicine

18. Management and Outcome of Liver Abscesses After Liver Transplantation. (Abstract)

.Fourteen patients (1.5%) developed 18 episodes of liver abscesses, and the median time from OLT to the diagnosis of liver abscess was 39.7 months. Major predisposing factors were biliary strictures in 11 patients, hepatic artery thrombosis in 8, re-OLT in 3, choledochojejunostomy in 2, living donor OLT in 2, donor after cardiac death in 1, split liver in 1, and liver biopsy in 1. All patients were managed by intravenous antibiotics; percutaneous drainage was performed in 10 patients, while 2 patients (...) Management and Outcome of Liver Abscesses After Liver Transplantation. Liver abscess after orthotopic liver transplantation (OLT) is a rare, life-threatening complication. The aim of this study is to analyze the incidence, risk factors, clinical manifestations, treatment and outcomes of liver abscesses after OLT.We perform a retrospective review of the patients who developed one or more liver abscesses among a series of 984 patients who underwent OLT between January 2000 and December 2016

2018 World Journal of Surgery

19. Culture-independent analysis of liver abscess using nanopore sequencing. Full Text available with Trip Pro

Culture-independent analysis of liver abscess using nanopore sequencing. The identification of microbial species has depended predominantly upon culture-based techniques. However, the difficulty with which types of organisms are cultured implies that the grown species may be overrepresented by both cultivation and plate counts. In recent years, culture-independent analysis using high-throughput sequencing has been advocated for use as a point-of-care diagnostic tool. Although it offers a rapid (...) and unbiased survey to characterize the pathogens in clinical specimens, its accuracy is reduced by the high level of contamination of human DNA. In this paper, we propose using a culture-independent analysis for a Klebsiella pneumoniae clinical strain within a liver abscess using nanopore sequencing. Owing to the highly-contaminated cell population within a liver abscess, we managed to reduce the confounding effects of human DNA through the use of DNase and differential centrifugation. Genomic DNA

2018 PLoS ONE

20. Management of Liver Abscess in Children: Our Experience Full Text available with Trip Pro

Management of Liver Abscess in Children: Our Experience Liver abscess is common in pediatric population in India. Children have unique set of predisposing factors and clinical features. Liver abscesses are infectious, space-occupying lesions in the liver; the two most common abscesses being pyogenic and amebic. Its severity depends on the source of the infection and the underlying condition of the patient.A total of 34 patients less than 12 years were assessed in a retrospective study from (...) patients (58.8%) underwent ultrasound-guided percutaneous catheter drainage. Two patients required catheter drainage for large abscess and needle aspiration for the smaller abscess.Antimicrobial therapy along with percutaneous drainage constitutes the mainstay of treatment, whereas open surgical drainage should be reserved for selected cases.How to cite this article: Waghmare M, Shah H, Tiwari C, Khedkar K, Gandhi S. Management of Liver Abscess in Children: Our Experience. Euroasian J Hepato

2017 Euroasian journal of hepato-gastroenterology

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