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Liver Abscess

Liver Abscess

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A brief note about LIVER ABSCESS. Nice graphic illustrations of Power point 2007.Covering demography, causes, diagnosis, management and prognosis of live abscess.
A brief note about LIVER ABSCESS. Nice graphic illustrations of Power point 2007.Covering demography, causes, diagnosis, management and prognosis of live abscess.

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Categories:Types, Research
Published by: Muhammad Alauddin Sarwar on Apr 12, 2011
Copyright:Attribution Non-commercial

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01/07/2014

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BY: Dr. Muhammad Alauddin Sarwar Resident: Mahayal General Hospital KSA and Qatar Hospital Karachi, Pakistan.

LIVER ABSCESS

Liv r absc ss is a c ll cti liv r ca s by i f cti

f si t r i f stati .

Demography of Liver Abscess
The most common type of visceral abscess. Areas of highest incidence (due to inadequate sanitation and crowding) include most developing countries in the tropics, particularly Mexico, India, and nations of Central and South America, tropical Asia, and Africa. Liver abscess occurs equally in men and women, usually in those over age 50. Death occurs in 15% of affected patients despite treatment. In a 4-year follow-up study of preschool children in a highly endemic area of Bangladesh, 80% of children had at least one episode of infection with E. histolytica and 53% had more than one episode.
Harrison 2008

CLASSIFICATION OF LIVER ABSCESS
Most often polymicro ial. Accounts for 80% of hepatic a scess cases in the United States.

Pyogenic

Amoebic

Due to E. histolytica. Accounts for 10% of cases.

Fungal

Most often due to Candida species. Accounts for less than 10% of cases.

CAUSATIVE ORGANISMS OF LIVER ABSCESS
From GIT: Klebsiella pneumonia, Bacteroides species, Fusobacterium species, microaerophilic, anaerobic streptococci. From systemic Circulation: Staphylococcus aureus., S milleri

Pyogenic

Amoebic

E. histolytica. Liver abscess is the most common extra intestinal manifestation of this infection

Fungal

Candida albicans. Usually occur in individuals with prolonged exposure to antimicrobials, hematologic malignancies, solid-organ transplants, and congenital and acquired immunodeficiency

CAUSES OF PYOGENIC LIVER ABSCESS
1. Biliary Tract Diseases (60%) 2. Via Porto-Venous System (24%) Porto3. Via Systemic Circulation (15% ) 4. Contagious Spread 5. Cryptogenic

emedicine.medscape.com, Updated September 23, 2008.

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