Copyright (c) 2020 Dr.M.Rama Devi
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Clinical and Etiological Profile of Patients with Liver Abscess
Corresponding Author(s) : Dr.M.Rama Devi
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 3 No. 2 (2015): 2015 Volume 3- Issue -2
Abstract
Hepatic abscess is the most common extra intestinal manifestation of amoebiasis. The incidence of liver abscess among cases of intestinal amoebiasis varies from 3-17%. Objective: To study the clinical features and etiological factors of patients with Liver abscess. It is a prospective Hospital based study. Patients admitted to medical wards between the period August 2008 and August 2010 in SVRR Government General Hospital, SV Medical College, Tirupati, were selected for the study. Conclusion: Liver abscess is most commonly seen in 40years to 60 years age group with Male to female ratio of 13 to 1.Ethanol consumption and lower socio-economic status are important predisposing factors. Abdominal pain and fever are the common presenting features. Common clinical findings are intercostal tenderness and hepatomegaly.
Keywords
Liver abscess
Pyogenic abscess
amoebic abscess
References
-
1. Fauci, Braunwald, Kasper, Hauser. Intra abdominal infections and abscesses. In: Miriam J. Baron, Dennis L. Kasper. Harissons Principles of Internal Medicine. 17th ed. New York: McGraw Hill Medical;2008.807-813.
2. Lamont N, Pooler N.R. Hepatic amoebiasis – a study of 250 cases. Quart J Med.1958;27:389.
3. Engenir Schiff, Michael F Sorrel Willis C. Maddrey. Liver abscesses. In: David Kershenobich, Marco A.Olivera-Martinez. Schiffs Diseases of the liver. 10th ed. Lippincott Williams & Wilkins; 2007.1352-58.
4. Zahid kahn, Sher Rehman, Habib bakhtyar,et al. Outcome of surgical management of liver abscess. J.Med.Sci.(peshawer,print). 2009 July;17(2):62-66.
5. Joan Scragg. Amoebic liver abscess in African children. Arch dis child. 1960 Apr; 35(180):171-176..
6. Hai A A, Singh A, Mittal V K, Karan G C. Amoebic liver abscess. Int Surg. 1991; 76(2): 81-3.
7. Q T Islam, A R M S Ekram, M I Ahmed et al. Pyogenic liver abscess and indigenous alcohol. TAJ. 2005 June;18(1):21-24.
8. Yu-Hang Yeh, Yu-Chia Lin et al. Pyogenic liver abscess in the elderly. International Journal of Gerontology. 2009 Dec;3(4):204-208.
9. De Bakey M.E, Ochsner. Hepatic amoebiasis: A 20 year experience and analysis of 263 cases. Surg Gynecol Obstet. 1951;92:209-31.
10. Hyo Min Yoo, Won Ho Kim et al. The Changing Pattern of Liver Abscess during the past 20 years. Yonsei Medical Journal.1993;34 (4) :340-351.
11. Teh LB, Ng HS , Kwok KC et al. Liver Abscess-A clinical Study. Ann Acad Med Singapore. 1986 Apr; 15 (2): 176-81.
12. Navneeth Sharma, Aman Sharma, Subhash Varma et al. Amoebic liver abscess in the medical emergency of a north Indian hospital. BMC research. 2010, 3:21doi:10.11.86/1756-0500-3-21, online at: http://www.biomedcentral.com
13. Viroj Wiwanitkit. A note on clinical presentations of amoebic liver abscess:an over view from 62 Thai patients. B M C Family Practice. 2002;3:13.
14. Virendra Singh, Ashish Balla, Navneeth Sharma et al. Pathophysiology of jaundice. Am. J. Trop.Med. Hyg. 2008; 78 (4):556-559.
15. MP Sharma, Vineet Ahuja. Amoebic Liver Abscess.JIACM. 2003;4(2):107-111.
16. Shyam Mathur, RS Gehlot. Clinical Profile of amoebic liver Abscess. JIACM. 2002;3(4):367-73.
17. A. H.Mohsen S.T.Green,et al. Liver Abscess in adults:Ten years experience in a U K centre. Q J M. 2002; 95(12):797-802
18. Aras A. Abdullah. Clinical analysis of Amoebic Liver Abscess in Sulaimany governorate. I J G E. 2005; 1(5):64-67.
19. Qurban Ali Bugti, Mohammad A Baloch. Pyogenic liver abscess: Demographic, Clinical, Radiological and Bacteriological characteristics and management strategies. Gomal Journal of Medical Sciences. 2005 Jan-June; 3(1) :10-14.
20. K V S Liew, T C Lau et al. Pyogenic Liver abscess: A Tropical Centre’s experience in Management with Review of current literature. Singapore Med J. 2000; 41 (10):489-492.
21. Chih-Jen Huang, G.J, Pitt H.A. Pyogenic hepatic abscess. Changing trends over 42 years. Ann Surg. 1996;223:600-609.
22. A Rehman Alvi, Farrukh Rizvi, Syed Faraz Karim et al. Amoebic liver abscess: experience in a South Asian country. Tropical Doctor. 2010; 40(1) : 39-40.
23. Enver Zeren ,Amir Hadzic. Sonographically Guided Percutaneous Catheter Drainage Versus Needle Aspiration in the management of Pyogenic Liver Abscess. Am. J .R. 2007;189:138-142.
24. Afzal Anees, M .A.Khan, M.I.Zea .et al. Amoebic Liver Abscess:The Evolving Concepts of Management. Journal of Tropical Medicine.2008; 5(1).
25. Mc Donald, Gallis H A et al. Single and multiple pyogenic liver abscesses: Natural history, diagnosis and treatment. Medicine. 1997;63:291-302.
26. Herwig Cerwenka. Pyogenic liver abscess :Differences in etiology and treatment in Southeast and Central Europe. World J Gastroenterol. 2010 May28;16(20):2458-2462
27. Mohan S, Talwar N,et al. Liver Abscess:A clinico pathological analysis of 82 cases. Int Surg. 2006 Jul-Aug; 91(4):228-233.
28. Abdelouafi A, Ousehal A. Ultrasonography in the diagnosis of liver abscess. Ann Radiol. 1993;36 (4):286-292.
29. Mc Garr, PL,Madiba TE.et al. Amoebic Liver Abscess-Results of a conservative management policy. S Afr Med J. 2003 Feb;93(2):132-136.
30. Akgun Y, Tacyildiz IH et al. Amoebic liver abscess:changing trends over 20 years. World J Surg. 1999 Jan; 23(1):102-106.
References
1. Fauci, Braunwald, Kasper, Hauser. Intra abdominal infections and abscesses. In: Miriam J. Baron, Dennis L. Kasper. Harissons Principles of Internal Medicine. 17th ed. New York: McGraw Hill Medical;2008.807-813.
2. Lamont N, Pooler N.R. Hepatic amoebiasis – a study of 250 cases. Quart J Med.1958;27:389.
3. Engenir Schiff, Michael F Sorrel Willis C. Maddrey. Liver abscesses. In: David Kershenobich, Marco A.Olivera-Martinez. Schiffs Diseases of the liver. 10th ed. Lippincott Williams & Wilkins; 2007.1352-58.
4. Zahid kahn, Sher Rehman, Habib bakhtyar,et al. Outcome of surgical management of liver abscess. J.Med.Sci.(peshawer,print). 2009 July;17(2):62-66.
5. Joan Scragg. Amoebic liver abscess in African children. Arch dis child. 1960 Apr; 35(180):171-176..
6. Hai A A, Singh A, Mittal V K, Karan G C. Amoebic liver abscess. Int Surg. 1991; 76(2): 81-3.
7. Q T Islam, A R M S Ekram, M I Ahmed et al. Pyogenic liver abscess and indigenous alcohol. TAJ. 2005 June;18(1):21-24.
8. Yu-Hang Yeh, Yu-Chia Lin et al. Pyogenic liver abscess in the elderly. International Journal of Gerontology. 2009 Dec;3(4):204-208.
9. De Bakey M.E, Ochsner. Hepatic amoebiasis: A 20 year experience and analysis of 263 cases. Surg Gynecol Obstet. 1951;92:209-31.
10. Hyo Min Yoo, Won Ho Kim et al. The Changing Pattern of Liver Abscess during the past 20 years. Yonsei Medical Journal.1993;34 (4) :340-351.
11. Teh LB, Ng HS , Kwok KC et al. Liver Abscess-A clinical Study. Ann Acad Med Singapore. 1986 Apr; 15 (2): 176-81.
12. Navneeth Sharma, Aman Sharma, Subhash Varma et al. Amoebic liver abscess in the medical emergency of a north Indian hospital. BMC research. 2010, 3:21doi:10.11.86/1756-0500-3-21, online at: http://www.biomedcentral.com
13. Viroj Wiwanitkit. A note on clinical presentations of amoebic liver abscess:an over view from 62 Thai patients. B M C Family Practice. 2002;3:13.
14. Virendra Singh, Ashish Balla, Navneeth Sharma et al. Pathophysiology of jaundice. Am. J. Trop.Med. Hyg. 2008; 78 (4):556-559.
15. MP Sharma, Vineet Ahuja. Amoebic Liver Abscess.JIACM. 2003;4(2):107-111.
16. Shyam Mathur, RS Gehlot. Clinical Profile of amoebic liver Abscess. JIACM. 2002;3(4):367-73.
17. A. H.Mohsen S.T.Green,et al. Liver Abscess in adults:Ten years experience in a U K centre. Q J M. 2002; 95(12):797-802
18. Aras A. Abdullah. Clinical analysis of Amoebic Liver Abscess in Sulaimany governorate. I J G E. 2005; 1(5):64-67.
19. Qurban Ali Bugti, Mohammad A Baloch. Pyogenic liver abscess: Demographic, Clinical, Radiological and Bacteriological characteristics and management strategies. Gomal Journal of Medical Sciences. 2005 Jan-June; 3(1) :10-14.
20. K V S Liew, T C Lau et al. Pyogenic Liver abscess: A Tropical Centre’s experience in Management with Review of current literature. Singapore Med J. 2000; 41 (10):489-492.
21. Chih-Jen Huang, G.J, Pitt H.A. Pyogenic hepatic abscess. Changing trends over 42 years. Ann Surg. 1996;223:600-609.
22. A Rehman Alvi, Farrukh Rizvi, Syed Faraz Karim et al. Amoebic liver abscess: experience in a South Asian country. Tropical Doctor. 2010; 40(1) : 39-40.
23. Enver Zeren ,Amir Hadzic. Sonographically Guided Percutaneous Catheter Drainage Versus Needle Aspiration in the management of Pyogenic Liver Abscess. Am. J .R. 2007;189:138-142.
24. Afzal Anees, M .A.Khan, M.I.Zea .et al. Amoebic Liver Abscess:The Evolving Concepts of Management. Journal of Tropical Medicine.2008; 5(1).
25. Mc Donald, Gallis H A et al. Single and multiple pyogenic liver abscesses: Natural history, diagnosis and treatment. Medicine. 1997;63:291-302.
26. Herwig Cerwenka. Pyogenic liver abscess :Differences in etiology and treatment in Southeast and Central Europe. World J Gastroenterol. 2010 May28;16(20):2458-2462
27. Mohan S, Talwar N,et al. Liver Abscess:A clinico pathological analysis of 82 cases. Int Surg. 2006 Jul-Aug; 91(4):228-233.
28. Abdelouafi A, Ousehal A. Ultrasonography in the diagnosis of liver abscess. Ann Radiol. 1993;36 (4):286-292.
29. Mc Garr, PL,Madiba TE.et al. Amoebic Liver Abscess-Results of a conservative management policy. S Afr Med J. 2003 Feb;93(2):132-136.
30. Akgun Y, Tacyildiz IH et al. Amoebic liver abscess:changing trends over 20 years. World J Surg. 1999 Jan; 23(1):102-106.
2. Lamont N, Pooler N.R. Hepatic amoebiasis – a study of 250 cases. Quart J Med.1958;27:389.
3. Engenir Schiff, Michael F Sorrel Willis C. Maddrey. Liver abscesses. In: David Kershenobich, Marco A.Olivera-Martinez. Schiffs Diseases of the liver. 10th ed. Lippincott Williams & Wilkins; 2007.1352-58.
4. Zahid kahn, Sher Rehman, Habib bakhtyar,et al. Outcome of surgical management of liver abscess. J.Med.Sci.(peshawer,print). 2009 July;17(2):62-66.
5. Joan Scragg. Amoebic liver abscess in African children. Arch dis child. 1960 Apr; 35(180):171-176..
6. Hai A A, Singh A, Mittal V K, Karan G C. Amoebic liver abscess. Int Surg. 1991; 76(2): 81-3.
7. Q T Islam, A R M S Ekram, M I Ahmed et al. Pyogenic liver abscess and indigenous alcohol. TAJ. 2005 June;18(1):21-24.
8. Yu-Hang Yeh, Yu-Chia Lin et al. Pyogenic liver abscess in the elderly. International Journal of Gerontology. 2009 Dec;3(4):204-208.
9. De Bakey M.E, Ochsner. Hepatic amoebiasis: A 20 year experience and analysis of 263 cases. Surg Gynecol Obstet. 1951;92:209-31.
10. Hyo Min Yoo, Won Ho Kim et al. The Changing Pattern of Liver Abscess during the past 20 years. Yonsei Medical Journal.1993;34 (4) :340-351.
11. Teh LB, Ng HS , Kwok KC et al. Liver Abscess-A clinical Study. Ann Acad Med Singapore. 1986 Apr; 15 (2): 176-81.
12. Navneeth Sharma, Aman Sharma, Subhash Varma et al. Amoebic liver abscess in the medical emergency of a north Indian hospital. BMC research. 2010, 3:21doi:10.11.86/1756-0500-3-21, online at: http://www.biomedcentral.com
13. Viroj Wiwanitkit. A note on clinical presentations of amoebic liver abscess:an over view from 62 Thai patients. B M C Family Practice. 2002;3:13.
14. Virendra Singh, Ashish Balla, Navneeth Sharma et al. Pathophysiology of jaundice. Am. J. Trop.Med. Hyg. 2008; 78 (4):556-559.
15. MP Sharma, Vineet Ahuja. Amoebic Liver Abscess.JIACM. 2003;4(2):107-111.
16. Shyam Mathur, RS Gehlot. Clinical Profile of amoebic liver Abscess. JIACM. 2002;3(4):367-73.
17. A. H.Mohsen S.T.Green,et al. Liver Abscess in adults:Ten years experience in a U K centre. Q J M. 2002; 95(12):797-802
18. Aras A. Abdullah. Clinical analysis of Amoebic Liver Abscess in Sulaimany governorate. I J G E. 2005; 1(5):64-67.
19. Qurban Ali Bugti, Mohammad A Baloch. Pyogenic liver abscess: Demographic, Clinical, Radiological and Bacteriological characteristics and management strategies. Gomal Journal of Medical Sciences. 2005 Jan-June; 3(1) :10-14.
20. K V S Liew, T C Lau et al. Pyogenic Liver abscess: A Tropical Centre’s experience in Management with Review of current literature. Singapore Med J. 2000; 41 (10):489-492.
21. Chih-Jen Huang, G.J, Pitt H.A. Pyogenic hepatic abscess. Changing trends over 42 years. Ann Surg. 1996;223:600-609.
22. A Rehman Alvi, Farrukh Rizvi, Syed Faraz Karim et al. Amoebic liver abscess: experience in a South Asian country. Tropical Doctor. 2010; 40(1) : 39-40.
23. Enver Zeren ,Amir Hadzic. Sonographically Guided Percutaneous Catheter Drainage Versus Needle Aspiration in the management of Pyogenic Liver Abscess. Am. J .R. 2007;189:138-142.
24. Afzal Anees, M .A.Khan, M.I.Zea .et al. Amoebic Liver Abscess:The Evolving Concepts of Management. Journal of Tropical Medicine.2008; 5(1).
25. Mc Donald, Gallis H A et al. Single and multiple pyogenic liver abscesses: Natural history, diagnosis and treatment. Medicine. 1997;63:291-302.
26. Herwig Cerwenka. Pyogenic liver abscess :Differences in etiology and treatment in Southeast and Central Europe. World J Gastroenterol. 2010 May28;16(20):2458-2462
27. Mohan S, Talwar N,et al. Liver Abscess:A clinico pathological analysis of 82 cases. Int Surg. 2006 Jul-Aug; 91(4):228-233.
28. Abdelouafi A, Ousehal A. Ultrasonography in the diagnosis of liver abscess. Ann Radiol. 1993;36 (4):286-292.
29. Mc Garr, PL,Madiba TE.et al. Amoebic Liver Abscess-Results of a conservative management policy. S Afr Med J. 2003 Feb;93(2):132-136.
30. Akgun Y, Tacyildiz IH et al. Amoebic liver abscess:changing trends over 20 years. World J Surg. 1999 Jan; 23(1):102-106.