EurekaMag.com logo
+ Site Statistics
References:
53,869,633
Abstracts:
29,686,251
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on LinkedInFollow on LinkedIn

+ Translate

Differentiation of pyogenic from amoebic hepatic abscesses



Differentiation of pyogenic from amoebic hepatic abscesses



Surgery Gynecology & Obstetrics 162(2): 114-120



Recent immigration trends have resulted in an increased prevalence of amebic hepatic abscesses in southern states and in many northern American cities. Because amebic hepatic abscesses generally do not require drainage, differentiation from pyogenic hepatic abscesses is important. We, therefore, reviewed the records of patients admitted to the UCLA. Medical Center from 1968 through 1983 to compare the clinical manifestations and to access the results of treatment of pyogenic and amebic hepatic abscesses. During this 15 year period, 82 patients (42 pyogenic and 40 amebic) with hepatic abscesses were admitted. Factors which distinguished patients with pyogenic abscesses included: age greater than 50 years; jaundice; pruritis; sepsis and shock; a palpable mass; elevated bilirubin level; elevated alkaline phosphatase level, and abnormal abdominal roentogenograms. Patients with amebic abscesses of the liver were more likely to have Mexican ancestry, recently traveled to an endemic area, abdominal pain, diarrhea, abdominal tenderness, hepatomegaly and positive amebic serology. Hepatic scans and ultrasonography were excellent methods of detecting the presence of but not the type of hepatic abscess. Over-all, the mortality was 40 per cent for patients with pyogenic abscesses whereass all 40 of the patients with an amebic abscess survived. However, operative mortality was only 4.5 per cent for the 22 patients with pyogenic abscesses who were managed with systemic antibiotics and surgical drainage. We conclude that many clinical and laboratory parameters can aid in the differentiation and, as a result, management of patients with pyogenic and amebic hepatic abscesses.

(PDF emailed within 1 workday: $29.90)

Accession: 001336422

Download citation: RISBibTeXText

PMID: 3945889



Related references

Intra hepatic abscesses amoebic and pyogenic. American Journal of Surgery 125(5): 570-574, 1973

Ultrasonic features of pyogenic and amoebic hepatic abscesses. Pediatric Radiology 19(4): 230-233, 1989

The pathogenesis of raised serum alpha-fetoprotein levels in amoebic and pyogenic hepatic abscesses. Tropical Gastroenterology 11(2): 99-102, 1990

Amoebic and pyogenic liver abscesses. Bulletin Of Hunan Medical College: 83-87, 1985

Abscesses in the liver: amoebic or pyogenic?. Jpma. Journal of the Pakistan Medical Association 52(11): 495-496, 2003

Amoebic hepatic and renal abscesses complicating amoebic colitis. Clinics and Research in Hepatology and Gastroenterology 38(5): 541-542, 2015

Metabolomic profiling of amoebic and pyogenic liver abscesses an in vitro NMR study. Metabolomics 8(4): 540-555, 2012

Differentiation of pyogenic hepatic abscesses from malignant mimickers using multislice-based texture acquired from contrast-enhanced computed tomography. Hepatobiliary & Pancreatic Diseases International 15(4): 391-398, 2017

Pyogenic versus amoebic liver abscesses. A comparative clinical study in a series of 58 patients. Revista Espanola de Enfermedades Digestivas 102(2): 90-99, 2010

Sonography of hepatic amoebic abscesses. AJR (American Journal of Roentgenology) 134(5): 911-915, 1980

Pyogenic hepatic abscesses. American Surgeon 48(2): 49-53, 1982

Pyogenic hepatic abscesses: distinctive features from hypovascular hepatic malignancies on contrast-enhanced ultrasound with SH U 508A; early experience. Ultrasound in Medicine & Biology 30(6): 725-733, 2004

Errors in the diagnosis of amoebic hepatic abscesses. Z Gastro Enterol 6(1): 22-27, 1968