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Liver Abscess

Liver Abscess (Disease of Liver)Liver Abscess (Disease of Liver)

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Liver Abscess

Liver Abscess

A liver abscess is a localized collection of pus within the liver caused by bacterial, parasitic, or fungal infections. Prompt recognition and treatment are essential to prevent serious complications.

Types of Liver Abscesses
  • Pyogenic Liver Abscess: Typically caused by bacterial infections, often originating from the biliary tract, intestines, or bloodstream
  • Amoebic Liver Abscess: Resulting from the intestinal parasite Entamoeba histolytica, common in regions with poor sanitation
  • Fungal Liver Abscess: Less common, usually due to Candida species, especially in immunocompromised individuals
Symptoms
  • Abdominal Pain – Typically in the right upper quadrant; may be intense, continuous, or stabbing
  • Fever and Chills – Common signs of infection
  • Nausea and Vomiting – Gastrointestinal disturbances often accompany infections
  • Loss of Appetite and Weight Loss – General malaise and reduced food intake
  • Jaundice – Yellowing of the skin and eyes due to liver dysfunction
  • Night Sweats and Fatigue – Generalized weakness and excessive sweating, especially at night
Diagnosis
  • Blood Tests Elevated white blood cell count indicating infectio.
  • Imaging Studies:
    • Ultrasound Identifies abscess location and siz.
    • CT Scan Provides detailed cross-sectional image.
    • MRI Offers high-resolution imaging for precise assessmen.
  • Microbiological Cultures Identifies causative organisms from blood or abscess aspirat.
Treatment
  • Antibiotics Empirical broad-spectrum antibiotics are initiated, adjusted based on culture result.
  • Drainage Procedures:
    • Percutaneous Drainage Insertion of a needle through the skin to drain pus; guided by imagin.
    • Surgical Drainage Required for large, inaccessible, or multiple abscesse.
  • Management of Underlying Causes Addressing conditions like biliary tract disease or intestinal infections contributing to abscess formatio.

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