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pyogenic liver abscess

Li Liu, Wanjun Chen, Xiaoye Lu, Keji Zhang, Changqing Zhu
BACKGROUND: Pyogenic liver abscesses have become common in emergency departments (EDs) in recent years in Shanghai, China due to a variety of risk factors contributory to the disease. OBJECTIVE: To review our experience in managing pyogenic liver abscesses to aid in the current management of this complex condition. METHODS: This retrospective study was conducted to collect and analyze information from adult patients diagnosed with liver hepatic abscesses who were admitted to Ren Ji Hospital during the period from January 1, 2010 to December 31, 2015...
October 17, 2016: Journal of Emergency Medicine
Otto Mauro Dos Santos-Rosa, Henrique Simonsen Lunardelli, Marcelo Augusto Fontenelle Ribeiro-Junior
Background: The pyogenic liver abscess has an incidence of 1.1/1,000 habitants. Mortality can reach 100%. The use of less invasive procedures diminish morbidity and hospital stay. Aim: Identify risk factors in patients who underwent percutaneous drainage guided by ultrasound as treatment. Method: Were analyzed 10 patients submitted to the method. Epidemiological characteristics, laboratory markers and imaging exams (ultrasound and CT) were evaluated...
July 2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Vishal G Shelat, Qiao Wang, Clement Lk Chia, Zhongkai Wang, Jee Keem Low, Winston Wl Woon
BACKGROUND: Etiologic organism is not frequently isolated despite multiple blood and fluid cultures during management of pyogenic liver abscess (PLA). Such culture negative pyogenic liver abscess (CNPLA) is routinely managed by antibiotics targeted to Klebsiella pneumoniae. In this study, we evaluated the outcomes of such clinical practice. METHODS: All the patients with CNPLA and Klebsiella pneumoniae PLA (KPPLA) admitted from January 2003 to December 2011 were included in the study...
October 2016: Hepatobiliary & Pancreatic Diseases International: HBPD INT
Gandhi P, Krishna Murthy A, Vasavilatha, Srinivas Rao B, Srinivasa Reddy Vc
No abstract text is available yet for this article.
January 2016: Journal of the Association of Physicians of India
Erukulla Venkatesh
No abstract text is available yet for this article.
January 2016: Journal of the Association of Physicians of India
Shao-Hua Shi, Xiao-Ning Feng, Ming-Chun Lai, Hai-Shen Kong, Shu-Sen Zheng
BACKGROUND & AIMS: Little is known about etiology and morbidity and clinical characteristics of pyogenic liver abscess (PLA) caused by extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae. METHODS: An analysis between PLA patients caused by ESBL-producing Enterobacteriaceae isolates and those caused by non-ESBL-producing Enterobacteriaceae was performed. RESULTS: Among 817 PLA patients, there were 176 patients (21.5%) with PLA of biliary origin, and 67 PLA patients (8...
October 8, 2016: Liver International: Official Journal of the International Association for the Study of the Liver
Matías E Czerwonko, Pablo Huespe, Santiago Bertone, Pablo Pellegrini, Oscar Mazza, Juan Pekolj, Eduardo de Santibañes, Sung Ho Hyon, Martín de Santibañes
BACKGROUND: In times of modern surgery, transplantation and percutaneous techniques, pyogenic liver abscess (PLA) has essentially become a problem of biliary or iatrogenic origin. In the current scenario, diagnostic approach, clinical behavior and therapeutic outcomes have not been profoundly studied. This study analyzes the clinical and microbiological features, diagnostic methods, therapeutic management and predictive factors for recurrence and mortality of first episodes of PLA. METHODS: A retrospective single-center study was conducted including 142 patients admitted to the Hospital Italiano de Buenos Aires, between 2005 and 2015 with first episodes of PLA...
October 3, 2016: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
Nurver Ulger Toprak, Gulcin Balkose, Deniz Durak, Ender Dulundu, Tolga Demirbaş, Cumhur Yegen, Guner Soyletir
Extra-intestinal infections due to Clostridium difficile have been reported rarely. Herein we report a case of pyogenic liver abscess from toxigenic C. difficile in an 80-year-old non-hospitalized woman with diabetes mellitus, cerebrovascular and cardiovascular diseases. The patient was admitted to the emergency department with fever and abdominal pain. There was no history of diarrhea or use of antibiotics. Laboratory parameters revealed signs of inflammation and elevated AST and ALT levels. Abdominal ultrasound and computer tomography showed multiple focal lesions in the bilateral liver lobes and hydropic gallbladder with stones...
September 28, 2016: Anaerobe
Ming-Shian Tsai, Cheng-Li Lin, Long-Bin Jeng
Whether patients who have undergone gastrectomy are at a high risk of developing pyogenic liver abscess (PLA) remains debatable. From the inpatient claims records of Taiwan's National Health Insurance Research Database, we identified 33 834 patients with a history of 2000-2010 and135 336 controls without a history of gastrectomy. The 2cohorts were matched by age, sex, and admission year and followed-up until the end of 2011 for estimating the risk of PLA. Overall, the incidence of PLA was 3.5-fold higher in the gastrectomy cohort than in the control cohort (21...
September 27, 2016: Scientific Reports
Huseyin Agah Terzi, Tayfur Demiray, Mehmet Koroglu, Guner Cakmak, Ihsan Hakki Ciftci, Ahmet Ozbek, Mustafa Altindis
INTRODUCTION: The Streptococcus anginosus group of bacteria are low-virulence bacteria existing as commensals in the oral flora and gastrointestinal tracts of humans. S. anginosus may spread to the blood in individuals with poor oral hygiene in cases of oral infections, such as gingivitis and tooth abscesses, that develop following the loss of mucosal unity. This may lead to infections in the whole body, primarily as brain and liver abscesses. CASE PRESENTATION: A 32-year-old male patient presented with complaints of nausea, vomiting, and diffuse abdominal pain...
June 2016: Jundishapur Journal of Microbiology
Jong Eun Park, So-Young Park, Dong Joon Song, Hee Jae Huh, Chang-Seok Ki, Kyong Ran Peck, Nam Yong Lee
Bacteroides pyogenes, a non-spore-forming, anaerobic, gram-negative rod, is a component of the oral flora of animals and has, on occasion, been reported to cause human infection through dog or cat bites. We report the first case of B. pyogenes bacteremia secondary to liver abscess with no history of an animal bite. The microorganism was identified by 16S rRNA sequencing.
September 8, 2016: Anaerobe
Chun-Ru Hsu, Chun-Hsing Liao, Tzu-Lung Lin, Han-Ru Yang, Feng-Ling Yang, Pei-Fang Hsieh, Shih-Hsiung Wu, Jin-Town Wang
Klebsiella pneumoniae can cause community-acquired pyogenic liver abscess (PLA). Capsular polysaccharide (CPS) is important for its virulence. Among 79 capsular (K) types discovered thus far, K57 is often associated with PLA. Here, we report the identification of a K57 variant. Cps gene locus sequencing revealed differences between the K57 reference strain 4425/51 (Ref-K57) and a variant, the PLA isolate A1142. While Ref-K57 cps contained orf13 encoding a putative acetyltransferase, the insertion of a putative transposase-encoding gene at this position was detected in A1142...
2016: Scientific Reports
Joel Cherian, Rahul Singh, Muralidhar Varma, Sudha Vidyasagar, Chiranjay Mukhopadhyay
Pyogenic liver abscesses are rare with an incidence of 0.5% to 0.8% and are mostly due to hepatobiliary causes (40% to 60%). Most are polymicrobial with less than 10% being caused by Staphylococcus aureus. Of these, few are caused by methicillin-resistant Staphylococcus aureus (MRSA) and fewer still by a community-acquired strain. Here we present a case study of a patient with a community-acquired MRSA liver abscess. The patient presented with fever since 1 month and tender hepatomegaly. Blood tests revealed elevated levels of alkaline phosphatase, C-reactive protein, erythrocyte sedimentation rate, and neutrophilic leukocytosis...
July 2016: Journal of Investigative Medicine High Impact Case Reports
Lee S Kyang, Thamer A Bin Traiki, Nayef A Alzahrani, David L Morris
INTRODUCTION: Gas-forming pyogenic liver abscess (GPLA) caused by C. perfringens is rare but fatal. Patients with past gastrectomy may be prone to such infection post-ablation. PRESENTATION OF CASE: An 84-year-old male patient with past gastrectomy had MW ablation of his liver tumors complicated by GPLA. Computerised tomography scan showed gas-containing abscess in the liver and he was managed successfully with antibiotic and percutaneous drainage of the abscess...
2016: International Journal of Surgery Case Reports
Chen-Yi Liao, Ya-Sung Yang, Yen-Cheng Yeh, Ren-Jy Ben, Ching-Chang Lee, Chi-Chang Tsai, Chien-Yao Wang, Wu-Hsien Kuo, Chih-Chiang Wang
BACKGROUND: Prostate abscess is usually a complication of acute urinary tract infection. Invasive liver abscess syndrome is characterized with Klebsiella pneumoniae related multiple organ metastasis. Concomitant pyogenic liver abscess and prostate abscess have rarely been reported. Recurrent episode of liver abscess is even rarer. CASE PRESENTATION: We report a 71-year-old male with acute bacterial prostate abscess and urinary tract infection caused by K. pneumoniae associated with multiple liver abscess, psoas muscle abscess and osteomyelitis...
2016: BMC Research Notes
N Pal Singh, Tanu Sagar, Kirti Nirmal, I Rajender Kaur
Acinetobacter lwoffii is a gram negative aerobic non-fermenter bacilli. It is considered as an important emerging pathogen after Acinetobacter baumannii in patients with impaired immune system and in nosocomial infections. Here, we present a case of community acquired pyogenic liver Abscess caused by Acinetobacter lwoffii in a diabetic patient.
June 2016: Journal of Clinical and Diagnostic Research: JCDR
Shi-Teng Suo, Zhi-Guo Zhuang, Meng-Qiu Cao, Li-Jun Qian, Xin Wang, Run-Lin Gao, Yu Fan, Jian-Rong Xu
BACKGROUND: Pyogenic hepatic abscess may mimic primary or secondary carcinoma of the liver on contrast-enhanced computed tomography (CECT). The present study was to explore the usefulness of the analysis of multislice-based texture acquired from CECT in the differentiation between pyogenic hepatic abscesses and malignant mimickers. METHODS: This retrospective study included 25 abscesses in 20 patients and 33 tumors in 26 subjects who underwent CECT. To make comparison, we also enrolled 19 patients with hepatic single simple cyst...
August 2016: Hepatobiliary & Pancreatic Diseases International: HBPD INT
I Russel Lee, James S Molton, Kelly L Wyres, Claire Gorrie, Jocelyn Wong, Chu Han Hoh, Jeanette Teo, Shirin Kalimuddin, David C Lye, Sophia Archuleta, Kathryn E Holt, Yunn-Hwen Gan
Hypervirulent Klebsiella pneumoniae is an emerging cause of community-acquired pyogenic liver abscess. First described in Asia, it is now increasingly recognized in Western countries, commonly afflicting those with Asian descent. This raises the question of genetic predisposition versus geospecific strain acquisition. We leveraged on the Antibiotics for Klebsiella Liver Abscess Syndrome Study (A-KLASS) clinical trial ongoing in ethnically diverse Singapore, to prospectively examine the profiles of 70 patients together with their isolates' genotypic and phenotypic characteristics...
2016: Scientific Reports
M Luo, X-X Yang, B Tan, X-P Zhou, H-M Xia, J Xue, X Xu, Y Qing, C-R Li, J-F Qiu, Y-L Li
Pyogenic liver abscess (PLA) is a potentially life-threatening disease in many parts of the world, especially in Asia. The aim of this study was to quantify the proportion of common pathogens in patients with PLA in China, using a meta-analysis method based on systematic review of published studies. Several electronic databases were searched to identify the studies reporting the pathogens of PLA. We performed a meta-analysis to calculate the pooled proportion of pathogens and subgroup analysis among the included studies using R 3...
October 2016: European Journal of Clinical Microbiology & Infectious Diseases
Kuan-Fu Liao, Shih-Wei Lai, Cheng-Li Lin, Sou-Hsin Chien
Little is known on the association between appendectomy and pyogenic liver abscess. The objective of this study was to investigate the association between appendectomy and the risk of pyogenic liver abscess in Taiwan.This population-based retrospective cohort study was conducted using the hospitalization dataset of the Taiwan National Health Insurance Program. There were 212,530 subjects age 20 to 84 years with newly diagnosed appendectomy as the appendectomy group since 1998 to 2010, and 850,099 randomly selected subjects without appendectomy as the nonappendectomy group...
June 2016: Medicine (Baltimore)
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