Volume : VIII, Issue : V, May - 2019

Presentation of Liver Abscess in a Tertiary Hospital- An Observational Analysis

Naveen Gupta, Shilpi Gupta

Abstract :

Background: Liver abscess is demarcated as collection of purulent material in liver parenchyma which can be due to bacterial, parasitic, fungal, or mixed infection. It is a common condition across the globe. Objective– To study the clinical profile, microbiological aetiology, investigation profile and treatment consequences in patients with liver abscess. Methods: A retrospective study was conducted from January 2018 to December 2018 on 100 consecutive liver abscess patients at Composite Hospital, BSF, Tekanpur, Madhya Pradesh, India. Medical records were analysed for clinical features, examination findings, laboratory investigations, radiological tests, microbiological analysis and treatment modalities. Descriptive statistics were used. Results: The mean age of patients was 42.55 years. Majority were male alcoholics. The abscesses were commonly in right lobe (85%) and solitary (62%). Abscesses were predominantly amoebic in 75%. Mortality was 3.5% with all death reported in surgical group. The most common abnormality noted was raised alkaline phosphatase (ALP) in 90%, followed by TLC in 75% cases. Urea and Creatinine were the least raised investigation with only 18% in cases. SGOT, SGPT were high in half of the cases. This explains the reason that in alcoholics its ALP which is most important laboratory investigation as per present study. Conclusions: Amoebic liver abscess is more common than pyogenic liver abscess. Frequently occurs in young alcoholic males. Most common bestowing feature is pain abdomen followed by fever. Most common sign include tender hepatomegaly. Ultrasound abdomen is useful not only in diagnosis and intervention but also in the follow up of the condition and to evaluate resolution

Article: Download PDF    DOI : https://www.doi.org/10.36106/paripex  

Cite This Article:

PRESENTATION OF LIVER ABSCESS IN A TERTIARY HOSPITAL- AN OBSERVATIONAL ANALYSIS, Naveen Gupta, Shilpi Gupta PARIPEX‾INDIAN JOURNAL OF RESEARCH : Volume-8 | Issue-5 | May-2019

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