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Liver Abscess

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141. Klebsiella pneumoniae liver abscess Full Text available with Trip Pro

Klebsiella pneumoniae liver abscess Klebsiella pneumoniae liver abscess is no longer fatal but causes catastrophic disabilities. To prevent severe complications, early diagnosis is essential. Gram stain and string test are important for early diagnosis.

2017 Journal of General and Family Medicine

142. A Unique Case of Empyema Secondary to Amoebic Liver Abscess Full Text available with Trip Pro

A Unique Case of Empyema Secondary to Amoebic Liver Abscess An amoebic liver abscess is an extraintestinal manifestation of amoebiasis that can present with complaints such as right upper quadrant pain and fever. It might not necessarily be associated with abdominal complaints and can have many other atypical presentations. It may present with lung diseases, cardiac diseases, or brain abscesses. We present a case of a patient with empyema secondary to amoebic liver abscess whose diagnosis

2017 Cureus

143. Evaluation of blood metabolites reflects presence or absence of liver abscesses in beef cattle Full Text available with Trip Pro

concentrations of thyroxine, albumin, cholesterol and alkaline phosphatase, and is suggested to be associated with lower blood carbon dioxide (P=0.08) and lower biliary cortisol metabolites (P=0.07). Albumin and cholesterol are established indicators of hepatic function and are consistently related to the presence of liver abscesses. Identifying blood parameters that predict liver abscesses has practical implications for cattle husbandry and for ensuring food safety. (...) Evaluation of blood metabolites reflects presence or absence of liver abscesses in beef cattle Liver abscesses constitute a prominent concern regarding animal health and profitability of the beef industry. Our objective was to evaluate potential biliary and blood indicators of liver abscesses. Twenty-nine beef bulls (initially averaging 356±70.5 kg and 253±30 days of age) were fed a high-concentrate diet during a performance test of 112 days, during which blood was collected at nine time points

2017 Veterinary record open

144. Areas of research and clinical approaches to the study of liver abscess Full Text available with Trip Pro

Areas of research and clinical approaches to the study of liver abscess To analyze the research activity on liver abscess (LA) and identify the main topic clusters in the area.We identified all documents using the medical subject heading "LA" indexed in the MEDLINE database between 2001 and 2015. We performed a descriptive bibliometric analysis, characterizing the evolution of scientific activity, the publication types of the documents, the document categories of clinical interest (case reports (...) ) and China (n = 29). The most active areas of research in the field are diagnosis via computerized tomography scan, differential diagnosis with regard to liver cancer, treatment with antimicrobial agents, and Klebsiella infections (including bacteremia).Clinical case reports associated with diagnosis and treatment are the main topic of study, highlighting the importance of this document type in advancing knowledge.

2017 World Journal of Gastroenterology

145. A Rare Case of Fusobacterium Necrophorum Liver Abscesses Full Text available with Trip Pro

. A computed tomography scan of the abdomen showed two liver abscesses in the right lobe as well as extensive diverticulosis. Percutaneous drainage was performed and draining catheters were placed in the abscesses. Culture of the abscess fluid grew Fusobacterium necrophorum. She was treated with ceftriaxone and metronidazole as per sensitivities. Rare cases of F. necrophorum hepatic abscesses have been published. The source of infection described in reported cases included hematogenous spread from dental (...) A Rare Case of Fusobacterium Necrophorum Liver Abscesses Liver abscesses are an uncommon disease that can present with vague symptoms. Fusobacterium necrophorum causing liver abscesses is a rare condition and only a few cases have been reported. An 88-year-old female presented to her primary care physician with one week of fevers, night sweats, chills, fatigue and vague right upper quadrant abdominal pain. She denied nausea, vomiting, constipation, diarrhea and unintentional weight loss

2017 Clinics and practice

146. Amoebic liver abscess in northern Sri Lanka: first report of immunological and molecular confirmation of aetiology Full Text available with Trip Pro

Amoebic liver abscess in northern Sri Lanka: first report of immunological and molecular confirmation of aetiology Since 1985, amoebic liver abscess (ALA) has been a public health problem in northern Sri Lanka. Clinicians arrive at a diagnosis based on clinical and ultrasonographic findings, which cannot differentiate pyogenic liver abscess (PLA) from ALA. As the treatment and outcome of the ALA and PLA differs, determining the etiological agent is crucial.All clinically diagnosed ALA patients (...) against E. histolytica (99.7%) and the E. histolytica antigen were detected in the pus samples (100%). Moreover, PCR and sequencing confirmed these results.To our knowledge, this is the first report from Sri Lanka that provides immunological and molecular confirmation that Entamoeba histolytica is a common cause of liver abscesses in the region.

2017 Parasites & vectors

147. Necrotizing Liver Granuloma/Abscess and Constrictive Aspergillosis Pericarditis with Central Nervous System Involvement: Different Remarkable Phenotypes in Different Chronic Granulomatous Disease Genotypes Full Text available with Trip Pro

Necrotizing Liver Granuloma/Abscess and Constrictive Aspergillosis Pericarditis with Central Nervous System Involvement: Different Remarkable Phenotypes in Different Chronic Granulomatous Disease Genotypes Chronic granulomatous disease (CGD) is a primary immune deficiency causing predisposition to infections with specific microorganisms, Aspergillus species and Staphylococcus aureus being the most common ones. A 16-year-old boy with a mutation in CYBB gene coding gp91phox protein (X-linked (...) disease) developed a liver abscess due to Staphylococcus aureus. In addition to medical therapy, surgical treatment was necessary for the management of the disease. A 30-month-old girl with an autosomal recessive form of chronic granulomatous disease (CYBA gene mutation affecting p22phox protein) had invasive aspergillosis causing pericarditis, pulmonary abscess, and central nervous system involvement. The devastating course of disease regardless of the mutation emphasizes the importance of early

2017 Case Reports in Immunology

148. Klebsiella Pneumoniae Liver Abscess: a Case Report and Review of Literature Full Text available with Trip Pro

Klebsiella Pneumoniae Liver Abscess: a Case Report and Review of Literature Klebsiella pneumoniae (K.pneumoniae) is a known cause of pyogenic liver abscess (PLA) in the absence of hepatobiliary disease. In settings of hepatic infection, it has also been known to cause disseminated infections including meningitis and endopthalmitis. Several groups of patients are particularly susceptible to infection, including patients with diabetes mellitus, those from Southeast Asia and those (...) cultures grew K. pneumonia. The patient was treated with intravenous ceftriaxone and the abscess was drained by interventional radiology. After appropriate management, he progressed well during his hospital course and was eventually discharged from the hospital. K. pneumonia PLA had previously been an endemic disease in Southeast Asia, however, with a highly mobile patient population, it is now seen throughout the world and should be in the differential of patients who present with solitary liver mass

2017 Cureus

149. Percutaneous drainage as a first therapeutic step prior to surgery in liver hydatid cyst abscess: Is it worth it? Full Text available with Trip Pro

Percutaneous drainage as a first therapeutic step prior to surgery in liver hydatid cyst abscess: Is it worth it? To delay surgery until the patient is in a better condition, and thus to decrease postoperative morbidity.Using this algorithm we treated three patients aged 55, 75 and 80 years. In all three patients the clinical presentation was fever without a clear source of infection; all had nonspecific symptoms such as general malaise, dyspnea, and abdominal discomfort in the previous 15 d (...) . They came to the emergency room at our hospital due to deterioration of their general condition. Analytical tests showed leukocytosis, neutrophilia and increased polymerase chain reaction. In all cases an abdominal computed tomography (CT) was performed and liver hydatid abscess (LHA) was detected. The mean size of the LHA was 12 cm.All patients underwent CT-guided percutaneous drainage. The purulent material obtained was cultured, and Klebsiella pneumoniae, Streptococcus viridans and Streptococcus

2017 World journal of hepatology

150. Fusobacterial liver abscess: a case report and review of the literature. Full Text available with Trip Pro

Fusobacterial liver abscess: a case report and review of the literature. Fusobacteriae are facultative anaerobic gram-negative bacilli which cause a range of invasive infections, amongst which pyogenic liver abscesses are rare. We describe a case of Fusobacterium nucleatum liver abscess and review the relevant literature.A 51-year-old lady presented with a 4-day history of abdominal pain, diarrhoea, fever, rigors, and lethargy. Imaging revealed an abscess which was drained. Cultures (...) of the blood and abscess aspirate grew Fusobacterium nucleatum and Prevotella pleuritidis respectively. She achieved full recovery following treatment. A MEDLINE search was undertaken using free-text and Medical Subject Headings (MeSH), keywords "Fusobacterium" and "Liver abscess". Non-English language reports and cases without confirmed growth of Fusobacterium species were excluded. Additional cases were identified by surveying the references of each report and by using the same keywords in a web-based

2017 BMC Infectious Diseases

151. The role of Enterococcus spp. and multidrug-resistant bacteria causing pyogenic liver abscesses. Full Text available with Trip Pro

The role of Enterococcus spp. and multidrug-resistant bacteria causing pyogenic liver abscesses. Pyogenic liver abscesses (PLA) remain a significant clinical problem. Unfortunately, little is known about current bacterial susceptibility profiles and the incidence of multidrug resistant organisms (MDROs) causing PLA in Western countries. Yet, this crucial information is pivotal to guide empirical antibiotic therapy. Aim of this study was to provide detailed characteristics of PLA with a special (...) malignancies (34.9%), diabetes (24.4%) and the presence of liver cirrhosis (16.3%). Of note, Enterococcus spp. were the most frequently cultured bacterial isolates (28.9%), and in 1/3 of cases vancomycin resistance was observed. In addition, a relevant frequency of gram-negative MDROs was identified. In particular, an alarming 10% and 20% of gram-negative bacteria were resistant to carbapenems and tigecycline, respectively. Of note, MDRO status did not predict ICU stay or survival in multivariate

2017 BMC Infectious Diseases

152. More Than Meets the Eye: Klebsiella pneumoniae Invasive Liver Abscess Syndrome Presenting with Endophthalmitis. (Abstract)

More Than Meets the Eye: Klebsiella pneumoniae Invasive Liver Abscess Syndrome Presenting with Endophthalmitis. Endophthalmitis is a feared complication of pyogenic liver abscesses caused by hypervirulent Klebsiella pneumoniae strains. First described in East Asia in the 1980s, this invasive syndrome is only recently emerging in Europe and America.We describe an 84-year-old man who presented to the emergency department with fever, orbital cellulitis, and bilateral visual loss. Although (...) the patient had no overt abdominal symptoms, computed tomography scan revealed a pyogenic liver abscess. Blood cultures were positive for K. pneumoniae. Initial treatment consisted of intravenous ceftriaxone and intravitreal ceftazidime. A unilateral vitrectomy was performed. The patient survived with severe visual sequelae. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: K. pneumoniae pyogenic liver abscess with metastatic endophthalmitis is a relatively new syndrome that should be considered

2017 Journal of Emergency Medicine

153. Clinical and Genomic Analysis of Liver Abscess-Causing Klebsiella pneumoniae Identifies New Liver Abscess-Associated Virulence Genes Full Text available with Trip Pro

Clinical and Genomic Analysis of Liver Abscess-Causing Klebsiella pneumoniae Identifies New Liver Abscess-Associated Virulence Genes Hypervirulent variants of Klebsiella pneumoniae (hvKp) that cause invasive community-acquired pyogenic liver abscess (PLA) have emerged globally. Little is known about the virulence determinants associated with hvKp, except for the virulence genes rmpA/A2 and siderophores (iroBCD/iucABCD) carried by the pK2044-like large virulence plasmid. Here, we collected most

2016 Frontiers in cellular and infection microbiology

154. Pancreatic abscess within hepato-gastric ligament: case report of an extremely rare disease. Full Text available with Trip Pro

Pancreatic abscess within hepato-gastric ligament: case report of an extremely rare disease. Pancreatic pseudocyst is a very common benign cystic lesion of the pancreas. It develops in 5-15% of patients with peri-pancreatic fluid collection following acute pancreatitis. Collection usually occurs within the lesser sac of the omentum (near the pancreatic head and body region). But in 20-22% cases, that may be extra-pancreatic like in the mediastinum, pleura, in the peritoneal cavity including (...) the pelvis. The pancreatic pseudocyst typically contains brownish fluid with necrotic tissue sludge which may get infected giving rise to infected pseudocyst or pancreatic abscess. The present case is an unusual condition of a young alcoholic subject who was finally diagnosed as a case of a pancreatic abscess within hepato-gastric ligament and was managed with operative intervention. To the best of the author's knowledge, it is the first-ever reported case of a pancreatic abscess within the hepato

2020 BMC Surgery

155. Root abscess in the setting of infectious endocarditis: Short- and long-term outcomes. (Abstract)

, 2.89), congestive heart failure (HR, 1.72; 95% CI, 1.22, 2.42), renal failure requiring dialysis (HR, 3.26; 95% CI, 2.30, 4.64), liver disease (HR, 3.04; 95% CI, 1.65, 5.60), and postoperative sepsis (HR, 3.00; 95% CI, 1.30, 6.93). The 10-year rate of reoperation was also similar between groups (5.9% vs 7.9%).Thorough and extensive debridement is critical for successful treatment of active endocarditis with root abscess. Bioprosthetic stented and stentless valves are valid conduits to treat (...) Root abscess in the setting of infectious endocarditis: Short- and long-term outcomes. To evaluate the influence of an aortic root abscess on perioperative outcomes and long-term survival in patients with active infectious endocarditis that was treated surgically.From 1996 to 2017, 336 consecutive patients were treated with aortic valve or root replacement for infective endocarditis, including patients with (n = 179) or without (n = 157) a root abscess. Data were obtained from the Society

2020 Journal of Thoracic and Cardiovascular Surgery

156. A unusual case of multifocal pyogenic abscess formation following ERCP procedure. Full Text available with Trip Pro

A unusual case of multifocal pyogenic abscess formation following ERCP procedure. Endoscopic retrograde cholangiopancreatography (ERCP) is essential for managing biliary and pancreatic disorders. Infection is the most morbid complication of ERCP and among the most common causes of ERCP-related death.A 69-year-old man presented with right upper quadrant abdominal pain, obstructive jaundice and abnormal liver function tests. Ultrasound revealed cholelithiasis without bile duct dilation. After (...) walking. MRI revealed L4-L5 discitis with a large epidural abscess, spanning L1-S1 and compressing the spinal cord. Decompressive laminectomy of L5 was done and Klebsiella pneumonia was identified. Due to continued drainage from the wound, high fever, we performed a total body CT which revealed increased liver and iliopsoas abscess. Decompressive laminectomy was expanded to include L2-L4 and multiple irrigations were done. Gentamycin and Vancomycin containing polymethylmethacrylate beads were

2020 BMC Surgery

157. Liver Abscess

Liver Abscess Liver Abscess Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Liver Abscess Liver Abscess Aka: Liver Abscess , Hepatic (...) . Management Empiric broad spectrum triple antibiotics or and and Consider Focus antibiotic coverage with results Surgery or percutaneous drainage Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Liver Abscess." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Infectious Disease About FPnotebook.com is a rapid access, point-of-care medical

2018 FP Notebook

158. Mastitis and breast abscess

Mastitis and breast abscess Mastitis and breast abscess - NICE CKS Share Mastitis and breast abscess: Summary Mastitis is a painful inflammatory condition of the breast which may or may not be accompanied by infection. It is usually associated with lactation ('lactational' or 'puerperal mastitis'), but it can also occur in non-lactating women ('non-lactational mastitis'). A breast abscess is a localized collection of pus within the breast. It is a severe complication of mastitis, although (...) : Symptoms do not improve, or are worsening, after 12–24 hours despite effective milk removal. Bacterial culture in breast milk is positive. A breast abscess should be suspected if the woman has: A history of recent mastitis. A painful, swollen lump in the breast, with redness, heat, and swelling of the overlying skin. Fever and/or general malaise. If a breast abscess is suspected, the woman should be referred urgently to a general surgeon for confirmation of the diagnosis and management

2018 NICE Clinical Knowledge Summaries

159. Dental abscess

prolongation. Impaired hepatic function (or people concomitantly receiving potentially hepatotoxic drugs) — clarithromycin is principally excreted by the liver. Moderate to severe renal impairment. Use half the normal dose in severe renal impairment (eGFR less than 30mL/min) for a maximum duration of 14 days. Avoid Klaricid XL ® (clarithromycin prolonged release once daily tablets) in people with eGFR less than 30 mL/min. Conditions that predispose to QT interval prolongation, such as electrolyte (...) with caution in: People with active or chronic severe peripheral and central nervous system disease as there is a risk of neurological aggravation. People with severe liver disease and hepatic encephalopathy due to substantial impairment of metronidazole clearance in the presence of advanced hepatic insufficiency, which may contribute to the symptoms of encephalopathy. One third of the daily dosage may be given once daily. [ ; ] Adverse effects What are the adverse effects of metronidazole? Adverse effects

2018 NICE Clinical Knowledge Summaries

160. Management of Anorectal Abscess, Fistula-in-Ano, and Rectovaginal Fistula

of primary fistulotomy with drainage alone for perianal abscesses. Dis Colon Rectum. 1997;40:1435–1438. 89. Bokhari s, lindsey i. incontinence following sphincter divi- sion for treatment of anal fistula. Colorectal Dis. 2010;12(7 online):e135–e139. 90. malik ai, n elson Rl, t ou s. i ncision and drainage of perianal abscess with or without treatment of anal fistula. Cochrane Database Syst Rev. 2010:CD006827. 91. o liver i, lacueva fJ, Pérez Vicente f , et al. Randomized clini- cal trial comparing simple (...) Management of Anorectal Abscess, Fistula-in-Ano, and Rectovaginal Fistula Copyright © The American Society of Colon & Rectal Surgeons, Inc. Unauthorized reproduction of this article is prohibited. 1117 Diseases of the Colon & ReCtum Volume 59: 12 (2016) t he a merican society of Colon and Rectal sur- geons is dedicated to ensuring high-quality pa- tient care by advancing the science, prevention, and management of disorders and diseases of the co- lon, rectum, and anus. t he Clinical Practice

2016 American Society of Colon and Rectal Surgeons

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