Pyogenic liver abscess: A retrospective analysis of 107 patients during a 3-year period

Khee Siang Chan, Chin Ming Chen, Kuo Chen Cheng, Ching Cheng Hou, Hung Jung Lin, Wen Liang Yu

研究成果: 雜誌貢獻文章同行評審

72 引文 斯高帕斯(Scopus)

摘要

Pyogenic liver abscess (PLA) is a potentially life-threatening disease, and early diagnosis may be difficult. In order to provide diagnostic clues and to enhance the prompt management of such cases, we retrospectively investigated the clinical characteristics of PLA during a 3-year period in a tertiary-care hospital. The crude incidence rate of PLA in our study was 446.1 per 100,000 hospital admissions. Male predominance and a mean age of 57.6 ± 14.4 years were observed. Diabetes mellitus was the most common concomitant disease, and biliary pathologies were the most common predisposing cause of this type of abscess. The most common clinical features were fever, chills, and abdominal pain. Leukocytosis was found in 67.3% of the patients, and the observed C-reactive protein (CRP) values were high. The most common pathogen was Klebsiella pneumoniae. The mortality rate was 6.5%. A complete history, physical examination, evaluation of the white blood cell count and CRP, and the prompt arrangement of imaging studies may lead to an earlier diagnosis. The aggressive performance of image-guided catheter drainage and the appropriate administration of antibiotics may reduce the mortality rate of PLA.

原文英語
頁(從 - 到)366-368
頁數3
期刊Japanese Journal of Infectious Diseases
58
發行號6
出版狀態已發佈 - 2005
對外發佈

ASJC Scopus subject areas

  • 微生物學(醫學)

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