Liver abscess: a clinical study of 222 patients.
No Thumbnail Available
Date
1990-05-01
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
The medical records of 222 patients with liver abscess at Siriraj Hospital from 1978 to 1985 were analysed. Amoebic abscess was three times more prevalent than pyogenic abscess. In both groups middle aged males were affected more often than others. The main clinical manifestations were fever, right upper quadrant pain and hepatomegaly. History of colitis in the past, marked leukocytosis, elevation of alkaline phosphatase and a single abscess confined to the right lobe were suggestive of amoebic liver abscess. The presence of concurrent abdominal infection, marked anemia and jaundice were associated with pyogenic abscess. Patients with pyogenic abscess developed complications more often and the case fatality rate was greater than patients with amoebic abscess. Most of the patients were successfully treated with a combination of antimicrobials and drainage.
Description
Chotmaihet Thangphaet.
Keywords
Citation
Thamlikitkul V, Yamwong P. Liver abscess: a clinical study of 222 patients. Journal of the Medical Association of Thailand. 1990 May; 73(5): 264-8