Pyogenic liver abscess Four clinical cases
Keywords:
pyogenic liver abscess, Streptococcus anginosus, percutaneous therapyAbstract
Pyogenic liver abscess is an infrequent clinica! entity, often with an atypical way of presentation, which contributes to a delay in diagnosis. Presently, aspiration and/or catheter drainage associated to antibiotic therapy, is the method of first choice in pyogenic liver abscess treatment. Surgery is indicated when medical treatment has failed, or in those patients requiring abdominal exploration. We report four cases; three of them caused by Streptococcus anginosus. One patient was treated with systemic antibiotics only; the others underwent percutaneous therapy as well. None of the cases needed surgical treatment.
Downloads
References
Mischinger HJ, Hauser H, Rabi H et al. Pyogenic liver abscess: Studies of therapy and analysis of risk factors. World J Surg 1994; 18: 852-858.
Pitt HA, Zuidema GD. Factors intluencing mortality in the treatment of pyogenic hepatic abscess. Surg Gynecol Obstet 1975; 140: 228.
Rubin RH, Swartz MN, Malt R. Hepatic abscess: changes in clinical bacteriologic and therapeutic aspects. Am J Med 1974; 57: 601.
Greenstein AJ, Lowenthal D, Hammer GS, Schaffner F, Aufses AH. Continuing changing pattems of disease in pyogenic liver abscess: a study of 38 patients. Am J Gastroenterol 1984; 79: 217.
Sherman JD, Robbins SL. Changing trends inthe casuistics of hepatic abscess. Am J Med 1960; 228: 943.
Lasa IG, Ollobarren IM, Landaburu GM, Bengoechea MG, Eguzquiza AC, Miravé JIA. Abscesos hepáticos por Streptococcus anginosus. Rev Esp Enf Digest 1995; 87 (11): 821-823.
Valente C, Trindade L, Faria MJ, Barros MSJ, Vieira AA, Barreto MT. Abcesso hepático. Revisão teórica a propósito de um caso. Rev Port Doença lnfecc 1992; 15 (4): 287-292.
Klatchko BA, Schwartz SI. Diagnostic and therapeutic approaches to pyogenic abscess of the liver. Surg Gynecol Obstet1989; 168: 332-336.
Rustgi AK, Ritcher JM. Pyogenic and amebic liver abscess. Med Clin N Am 1989; 73 (4): 847-858.
GerzofSG, Johnson WC, Robbins AH, Nabseth DC. lntra-hepatic pyogenic abscesses: tretment by percutaneous drainage. Am J Surg 1985; 149: 487- 494.
Braum GD, Tyson GS, Branum MA, Mayers WC. Hepatic abscess - Changes in etiology, diagnostic, and management. Ann Surg 1990; 212 (6): 655-662.
Cherqui D, Belghiti J, Menu Y. Abcês non parasitaires du foie - Diagnostic et conduiteà tenir. Encycl Méd Chir, Foie et pancréas 1987; 3: 7015.
Benazzouz M, Afifi R, lbrahimi A, Essaid FA, Sebti MF. Abcês du foie: Diagnostic et traitement. Étude d'une série de 22 cas. Ann Gastroentérol Hépatol 1995;3 I (6): 333-336.
Kandel CG, Marcon NE. Pyogenic liver abscess: New concepts of an old disease. Am J Gastroenterol 1984; 79: 65-70.
Huang CJ, Pitt HA, Lipsett PA et al. Pyogenic hepatic abscess. Changing trends over 42 years. Ann Surg 1996; 223 (5): 600-609.
Abdelouafi A, Ousehal A, Adil A, Kadiri R. Apport du traitement percutané dans les abcês du foie. A propos de 34 cas. J Radiol 1993; 74 (6-7): 341-346.
Unceta PR, Cruz MJS, Pardo MJR, Garcia FD, Guinaldo AR, Herrera LM. Drenaje percutàneo guiado por ecografia de los abscesos hepáticos. Resultados y complicaciones. Rev Esp Enf Digest 1994;85 (2): 103-106.
Giorgio A, Tarantino L, Mariniello N et al. Pyogenic liver abscesses: 13 years of experience in percutaneous needle aspiration with US guidance. Radiology 1995; 195: 122-124.
Bayraktar Y, Arslan S, Sivri B et al. Percutaneous drainage of hepatic abscesses: therapy does not differ for those with identifiable biliary fistula. Hepato Gastroenterol 1996; 43: 620-626.
Abdelouafi A, Ousehal A, Ouzidane L, Kadiri R. Apport de l'échographie dans le diagnostic des abcés du foie. A propos de trente-deux cas. Ann Radiol 1993; 36: 286-292.
Chi-Chien Y, Chiung-Yu C, Xi-Zhang L, Ting-Tsung Ch, Jeng-Shiann S, Ching-Yih L. Pyogenic liver abscess in Taiwan: Emphasis 011 gas-forrning liver abscess in diabetics. Am J Gastroenterol 1993; 88: 1911-1915.
Colnot F, Alexandre JL, Amaudo JP et al. Abcês parenchy mateux lors des septicémies à Streptococcus anginosus (Streptococcus milleri). lntérêt de leur recherche systématic, à propos de quatre cas. Rev Méd lnt 1994; 15: 715-719.
Molina F, Durán MT. Características microbiológicas y espectro de infecciones de 108 Streptococcus anginosus aislados. Enferm lnfecc Microbial Clin 1993; 11: 304-308.
Molina JM, Leport C, Bure A, Wolff M, Michon C, Vilde JL. Clinical and bacterial features of infections caused by Streptococcus milleri. Scand J Infect Dis 1991; 23: 659-666.
Georg S, Wadhera A, Mersich K, Magnussen CR. Liver abscess dueto Sreptococcus sanguis. Clin lnfec Dis 1996; 22: 191-192.
Dossou-Gbete L, Scheftel P, Picard A, Christmann D. Un pathogêne mal connu: Streptococcus anginosus ("Streptococcus milleri"). Méd Mal Infect 1993;23:302-306.
Le Pennec MP. Streptococcusmilleri / anginosus. Instant Méd 1990; 3: 29-30.
Coykendall AL, Wesbecher PM, Gustafson KB. Streptococcus milleri, Streptococcus constellatus, and Streptococcus intermedius are later synonyms of Streptococcus anginosus. lnt J Syst Bacteriol 1987; 37: 222- 228.
Chua D, Reinhart HH, Sobel JD. Liver abscess caused by Streptococcus milleri. Rev lnfect Dis 1989; 111: 197-202.
Reichman N, Raz R, Flatau E. Pyogenic liver abscess caused by Streptococcus milleri. Harefuah 1992; 122: 636-637.
Additional Files
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2023 Medicina Interna