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Year : 2020  |  Volume : 26  |  Issue : 2  |  Page : 193-196

Clinical and microbiological profile of liver abscess

Department of General Surgery, Government Medical College, Kozhikode, Kerala, India

Correspondence Address:
Dr. Afrah Abdurahman
Alfauz 20/1440C, VKK Menon Road, Kallai Post, Kozhikode - 673 003, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ksj.ksj_14_20

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Introduction: Liver abscess may be due to bacterial, parasitic or mixed infection in the parenchyma. Materials and Methods: A cross-sectional study was directed on 51 patients admitted in one of the government medical colleges for liver abscess over 1½ years. Pertinent clinical history, physical examination and investigations were done, and the patients were exposed to ultrasound-guided needle aspiration of liver abscess. Results: The majority of the pyogenic liver abscess (PLA) patients were 40–60 years old. Males accounted for 90.2% compared to females, 9.8%. The most common symptoms were abdominal pain and fever present in 88.2% and 64.7%, respectively. Dyspnoea was present in 9.8% of the patients and pleural effusion in 17.6%. Hepatomegaly was the most common sign, followed by jaundice in 11.8% and ascites in 2% of the patients. All patients had involvement of the right lobe of the liver, with segment 7 being the most commonly involved segment (66.7%). Single abscess cavity was seen in 33% of the patients. Pyogenic abscess was more common than amoebic liver abscess (39.2%). In pyogenic abscess, the most common organism cultured was Klebsiella (39.2%). Conclusion: The majority of the patients were young males suffering from alcoholism and belonged to the lower socioeconomic group with PLAs that presented as multiple right lobe abscesses. The seventh segment was the segment most commonly implicated. In female patients, the liver abscess was rare. The average age of patients was in the forties, and the rate of mortality in patients in the seventh decade was increased. Klebsiella was the most prevalent cultured organism. Perhaps, low overall mortality was because of the use of minimally invasive drainage procedures and appropriate antimicrobials for aetiology in all patients.

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