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Liver Abscess

fever with right sided abdominal pain
  • Aakriti Pandita
  • Waleed Javaid
  • Tasaduq Fazili
Chapter

Abstract

Liver abscesses are relatively uncommon. The clinical presentation includes fever and right upper quadrant abdominal pain. The most common etiologic agents include Staphylococcus aureus, a variety of enteric gram-negative bacilli, and the protozoan parasite Entamoeba histolytica. In recent years, the observed increase in reported cases caused by Klebsiella pneumoniae has gained attention because of their association with metastatic complications. The management of a patient with a bacterial liver abscess almost always involves a drainage procedure followed by a relatively long course of intravenous antibiotics. Amoebic abscesses are managed medically using a combination of two amoebicides, one to treat the parenchymal liver infection and the other to eradicate any residual intraluminal (intraintestinal) amoeba. Drainage procedures are not usually necessary for diagnostic or therapeutic purposes.

Keywords

Liver abscess Klebsiella pneumoniae Escherichia coli Salmonella species Entamoeba histolytica Chronic granulomatous disease 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Aakriti Pandita
    • 1
  • Waleed Javaid
    • 2
  • Tasaduq Fazili
    • 2
  1. 1.SUNY Upstate Medical University, Department of MedicineSyracuseUSA
  2. 2.SUNY Upstate Medical University, Department of Medicine, Division of Infectious DiseasesSyracuseUSA

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