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liver abscess guidelines

Kyung-Sue Shin, Mu Suk Lee
Chronic granulomatous disease (CGD) is a rare inherited disorder caused by defective nicotinamide adenine dinucleotide phosphate oxidase enzyme and characterized by recurrent bacterial and fungal infections. Although liver abscess is a common manifestation of CGD, its management in CGD patients is not well-defined. In addition, the generalized guidelines for treating liver abscesses do not necessarily apply to CGD patients. Corticosteroids are commonly used to control granulomatous complications, such as inflammatory gastrointestinal and genitourinary lesions, in patients with CGD, Corticosteroids have also been used in combination with antimicrobials to treat refractory infections in patients with CGD...
April 2016: Korean Journal of Pediatrics
Susumu Tazuma, Yasuni Nakanuma
BACKGROUND: Hepatolithiasis is a calculus disease of the liver with no known cause that is relatively uncommon, and is characterized by a refractory nature and high frequency of recurrence. Hepatolithiasis is one of the diseases listed by the Ministry of Health, Labour and Welfare of Japan under Research on Intractable Diseases, and it requires further research on the pathogenesis as well as the therapeutic strategy. It is also included in the clinical guidelines for cholelithiasis of the Japanese Society of Gastroenterology, which suggest guiding principles for the treatment of hepatolithiasis...
2015: Lipids in Health and Disease
Jinbeom Cho, Ilyoung Park, Dosang Lee, Kiyoung Sung, Jongmin Baek, Junhyun Lee
Surgeons occasionally encounter a patient with a gastric cancer invading an adjacent organ, such as the pancreas, liver, or transverse colon. Although there is no established guideline for treatment of invasive gastric cancer, combined resection with radical gastrectomy is conventionally performed for curative purposes. We recently treated a patient with a large gastric cancer invading the abdominal wall, which was initially diagnosed as a simple abdominal wall abscess. Computed tomography showed that an abscess had formed adjacent to the greater curvature of the stomach...
September 2015: Journal of Gastric Cancer
Tsung-Han Tsai, Kai-Ling Peng
BACKGROUND: Endogenous endophthalmitis, extra-hepatic metastasis from liver abscess with diabetes mellitus, could lead to a devastating outcome without a prompt and appropriate management. We report a case of metastatic endophthalmitis combined with subretinal abscess with successful visual outcome after treatment. CASE PRESENTATION: A 56-year-old male patient with diabetes mellitus under poor control presented to our emergency room with fever, sore throat, cough and poor appetite for 2 weeks...
2015: BMC Ophthalmology
Vivian H Chu, Lawrence P Park, Eugene Athan, Francois Delahaye, Tomas Freiberger, Cristiane Lamas, Jose M Miro, Daniel W Mudrick, Jacob Strahilevitz, Christophe Tribouilloy, Emanuele Durante-Mangoni, Juan M Pericas, Nuria Fernández-Hidalgo, Francisco Nacinovich, Hussien Rizk, Vladimir Krajinovic, Efthymia Giannitsioti, John P Hurley, Margaret M Hannan, Andrew Wang
BACKGROUND: Use of surgery for the treatment of infective endocarditis (IE) as related to surgical indications and operative risk for mortality has not been well defined. METHODS AND RESULTS: The International Collaboration on Endocarditis-PLUS (ICE-PLUS) is a prospective cohort of consecutively enrolled patients with definite IE from 29 centers in 16 countries. We included patients from ICE-PLUS with definite left-sided, non-cardiac device-related IE who were enrolled between September 1, 2008, and December 31, 2012...
January 13, 2015: Circulation
Massimo Tonolini, Federica Villa, Sonia Ippolito, Marina Petullà, Roberto Bianco
Laparoscopic appendectomy is increasingly accepted as the preferred surgical treatment for acute appendicitis and represents one of the most common emergency operations performed in both adult and paediatric populations. However, in patients with perforated appendicitis laparoscopy is associated with an increased incidence of postoperative intraabdominal infections compared to open appendectomy. Nowadays urgent imaging is commonly requested by surgeons when postoperative complications are suspected. Due to the widespread use of laparoscopy, in hospitals with active surgical practices clinicians and radiologists are increasingly faced with suspected postappendectomy complications...
February 2015: Insights Into Imaging
Kamelia M Osman, Hany M Hassan, Ahmed Orabi, Ahmed S T Abdelhafez
Studies on the prevalence and virulence genes of Klebsiella mastitis pathogens in a buffalo population are undocumented. Also, the association of rmpA kfu, uge, magA, Aerobactin, K1 and K2 virulent factors with K. pneumoniae buffalo, and cow mastitis is unreported. The virulence of K. pneumoniae was evaluated through both phenotypic and molecular assays. In vivo virulence was assessed by the Vero cell cytotoxicity, suckling mouse assay and mice lethality test. Antimicrobial susceptibility was tested by disk diffusion method...
June 2014: Pathogens and Global Health
Ulrike Stampfl, Justo Lorenzo Bermejo, Christof M Sommer, Katrin Hoffmann, Karl Heinz Weiss, Peter Schirmacher, Peter Schemmer, Hans-Ulrich Kauczor, Götz M Richter, Boris A Radeleff, Thomas Longerich
PURPOSE: To histologically evaluate the efficacy and nontarget effects induced by transarterial chemoembolization as a "bridge" treatment of hepatocellular carcinoma (HCC) before liver transplantation (LT) and its relation to patient survival. MATERIALS AND METHODS: Between October 2003 and January 2011, 51 patients with HCC underwent LT after chemoembolization with iodized oil, small spherical particles, and carboplatin. The decision for LT was made according to national guidelines...
July 2014: Journal of Vascular and Interventional Radiology: JVIR
I Sporea, R Badea, A Popescu, Z Spârchez, R L Sirli, M Dănilă, L Săndulescu, S Bota, D P Calescu, D Nedelcu, C Brisc, L Ciobâca, L Gheorghe, M Socaciu, A Martie, S Ioaniţescu, A Tamas, C T Streba, M Iordache, I Simionov, M Jinga, A Anghel, C Cijevschi Prelipcean, C Mihai, S M Stanciu, D Stoicescu, E Dumitru, C Pietrareanu, D Bartos, R Manzat Saplacan, I Pârvulescu, R Vădan, G Smira, L Tuţă, A Săftoiu
PURPOSE: To assess the value of contrast-enhanced ultrasound (CEUS) for differentiating malignant from benign focal liver lesions (FLLs) and for diagnosing different FLL types. MATERIAL AND METHODS: CEUS performed in 14 Romanian centers was prospectively collected between February 2011 and June 2012. The inclusion criteria were: age > 18 years; patients diagnosed with 1 - 3 de novo FLLs on B-mode ultrasound; reference method (computed tomography (CT), magnetic resonance imaging (MRI) or biopsy) available; patient's informed consent...
June 2014: Ultraschall in der Medizin
Milan Kujundzić
Extraintestinal manifestations occur in about 35% of patients with inflammatory bowel diseases (IBD). Most frequently affected are bones and joints, skin, eyes, liver and biliary ducts. Extraintestinal manifestations of IBD are divided in two groups: reactive manifestations which depend on activity of IBD--peripheral arthritis, erythema nodosum, aphthous stomatitis, episcleritis and other manifestations which are independent on activity of IBD--pyoderma gangrenosum, uveitis, axial arthropathy, primary sclerosing cholangitis (PSC)...
April 2013: Acta Medica Croatica: C̆asopis Hravatske Akademije Medicinskih Znanosti
James Molton, Rachel Phillips, Mihir Gandhi, Joanne Yoong, David Lye, Thuan Tong Tan, Dale Fisher, Sophia Archuleta
BACKGROUND: Klebsiella pneumoniae liver abscess is the most common etiology of liver abscess in Singapore and much of Asia, and its incidence is increasing. Current management includes prolonged intravenous antibiotic therapy, but there is limited evidence to guide oral conversion. The implicated K1/K2 capsule strain of Klebsiella pneumoniae is almost universally susceptible to ciprofloxacin, an antibiotic with high oral bioavailability. Our primary aim is to compare the efficacy of early (< one week) step-down to oral antibiotics, to continuing four weeks of intravenous antibiotics, in patients with Klebsiella liver abscess...
2013: Trials
Nasser A Al Amer, Walid M Abd El Maksoud
We reported a rare case of abscess of the caudate lobe of the liver in a 60-year old man. We first tried computed tomography (CT) guided percutaneous drainage of the abscess but failed to eradicate the infection. Deterioration of the general condition of the patient necessitated open surgical drainage, which resulted in cure of the abscess. The peculiar anatomical location of caudate lobe abscess introduces a great challenge for the surgeon in planning the appropriate management and paucity of patients with caudate lobe abscess has led to lack of guidelines for management...
September 2013: Journal of Biomedical Research
Vikram Swaminathan, Joanne O'Rourke, Rashmi Gupta, C F Kiire
This case was rather unusual with regard to the disease presentation. The patient had non-specific symptoms of weight loss and general malaise, without any history of preceding diarrhoea or dysentery. It is important to be aware of the epidemiology of the disease, and to relate it to patients presenting with symptoms suggestive of amoebiasis. We discuss the recommended investigations and management options for these patients based on the current guidelines/evidence.
2013: BMJ Case Reports
Jun Wang, Xiao Dong He, You Cheng Zhang
BACKGROUND: The use of prophylactic antibiotics against postprocedure infection in patients undergoing transarterial therapy for hepatocellular carcinoma is controversial. AIM: To compare the effects of prophylactic antibiotic treatment and no prophylactic antibiotic treatment on infectious complications following transarterial procedures. METHODS: Clinical trials fulfilling predefined selection criteria were identified by searching several bibliographic databases; a meta-analysis was performed where appropriate...
February 2012: Canadian Journal of Gastroenterology, Journal Canadien de Gastroenterologie
(no author information available yet)
No abstract text is available yet for this article.
July 2011: Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy
Helen M Heneghan, Nuala A Healy, Sean T Martin, Ronan S Ryan, Niamh Nolan, Oscar Traynor, Ronan Waldron
BACKGROUND: Pyogenic hepatic abscesses are relatively rare, though untreated are uniformly fatal. A recent paradigm shift in the management of liver abscesses, facilitated by advances in diagnostic and interventional radiology, has decreased mortality rates. The aim of this study was to review our experience in managing pyogenic liver abscess, review the literature in this field, and propose guidelines to aid in the current management of this complex disease. METHODS: Demographic and clinical details of all patients admitted to a single institution with liver abscess over a 5 year period were reviewed...
2011: BMC Research Notes
Balwinder Singh, Fahad M Iqbal, K Kiran Sunkavalli, Bobby Chawla
Extensive experience in the diagnosis and treatment of tuberculosis (TB) has led to treatment guidelines, which almost always result in progressive clinical improvement and cure in the compliant patient. Failure of a patient to respond as expected raises concerns of unexpected drug resistance, poor absorption, drug fever, or rarely an intense inflammatory reaction known as paradoxical reaction. Paradoxical reactions to anti-TB treatment are relatively rare in nonimmunocompromised individuals. Hepatic abscess is a very rare consequence of primary TB infection but has never been described as occurring as part of a paradoxical reaction...
November 2013: American Journal of Therapeutics
Spiros G Delis, Andreas Bakoyiannis, Nikos Tassopoulos, Kostas Athanassiou, Dimitrios Kelekis, Juan Madariaga, Christos Dervenis
BACKGROUND: Many hepatocellular carcinomas (HCCs) are discovered at an advanced stage. The efficacy of transplantation for such tumors is doubtable. The aim of this retrospective study was to determine liver resection efficacy in patients with large HCC regarding long term and disease- free survival. METHODS: Between 2002 and 2008, sixty six patients with large HCC (>5cm) underwent hepatectomy. Fifty nine patients had background cirrhosis due to hepatitis B, C or other reason and preserved liver function (Child A)...
December 2010: Surgical Oncology
C Mukhopadhyay, K Chawla, Y Sharma, I Bairy
BACKGROUND: Aeromonas species are gram-negative rods usually isolated from the gastrointestinal tract. They have been occasionally reported as a cause of extra-intestinal infections such as cellulitis, cholangitis, necrotizing fascitis, meningitis, bacteremia, or peritonitis in both immunocompetent and immunocompromised patients. AIM: To determine the role and possible pathogenesis of Aeromonas in extra-intestinal infections. SETTINGS AND DESIGN: Retrospective analysis carried out at Kasturba Hospital Manipal, Karnataka in the months of January and February 2007...
July 2008: Journal of Postgraduate Medicine
Sharon J Peacock, Herbert P Schweizer, David A B Dance, Theresa L Smith, Jay E Gee, Vanaporn Wuthiekanun, David DeShazer, Ivo Steinmetz, Patrick Tan, Bart J Currie
The gram-negative bacillus Burkholderia pseudomallei is a saprophyte and the cause of melioidosis. Natural infection is most commonly reported in northeast Thailand and northern Australia but also occurs in other parts of Asia, South America, and the Caribbean. Melioidosis develops after bacterial inoculation or inhalation, often in relation to occupational exposure in areas where the disease is endemic. Clinical infection has a peak incidence between the fourth and fifth decades; with diabetes mellitus, excess alcohol consumption, chronic renal failure, and chronic lung disease acting as independent risk factors...
July 2008: Emerging Infectious Diseases
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