scholarly journals Clinical and microbiological characteristics of pyogenic liver abscess in a tertiary hospital in East China

Medicine ◽  
2017 ◽  
Vol 96 (37) ◽  
pp. e8050 ◽  
Author(s):  
Haishen Kong ◽  
Fei Yu ◽  
Weili Zhang ◽  
Xuefen Li
Keyword(s):  
Liver Abscess ◽  
Pyogenic Liver Abscess ◽  
Tertiary Hospital ◽  
East China ◽  
Microbiological Characteristics

scholarly journals Cryptogenic and non-cryptogenic liver abscess: A retrospective analysis of 178 cases revealed distinct characteristics

2018 ◽  
Vol 46 (9) ◽  
pp. 3824-3836 ◽  
Author(s):  
Jing Chen ◽  
Minwei Zhang ◽  
Jinlong Chen ◽  
Yaogui Ning ◽  
Xiaoyang Cai ◽  
...  
Keyword(s):  
Liver Abscess ◽  
Multivariate Logistic Regression Analysis ◽  
Pyogenic Liver Abscess ◽  
Tertiary Hospital ◽  
Microbial Infection ◽  
Theoretical Support ◽  
Metastatic Infection ◽  
Infectious Origin ◽  
Male Sex ◽  
Different Characteristics

Objective To enhance theoretical support of pyogenic liver abscess (PLA) treatment by comparing characteristics of patients with either PLA with an identified infectious origin (non-cryptogenic) or PLA with no obvious underlying cause (cryptogenic). Methods This retrospective study included all first episodes of PLA in adults admitted to a tertiary hospital between 2009 and 2016. Relevant clinical data were collected for patients with cryptogenic or non-cryptogenic PLA and compared across a number of characteristics. Results In all, 178 patients were included: 111 cases (62.4%) of cryptogenic PLA, and 67 cases (37.6%) of non-cryptogenic PLA. Diabetes mellitus was significantly more prevalent in patients with cryptogenic PLA than those with non-cryptogenic PLA. The proportion of multidrug resistance/poly-microbial infection was significantly lower and Klebsiella pneumoniae infection was significantly higher in the cryptogenic versus non-cryptogenic PLA group. Metastatic infection occurred in four patients with cryptogenic PLA only, and all had diabetes and K. pneumoniae infection. Multivariate logistic regression analysis revealed that male sex, diabetes and K. pneumoniae were independent predictors for cryptogenic PLA. Conclusions Cryptogenic and non-cryptogenic PLA have distinctly different characteristics, suggesting a potential need for different treatment approaches.

scholarly journals Clinical and microbiological characteristics of Klebsiella pneumoniae liver abscess in East China

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Ting-ting Qu ◽  
Jian-cang Zhou ◽  
Yan Jiang ◽  
Ke-ren Shi ◽  
Bin Li ◽  
...  
Keyword(s):  
Klebsiella Pneumoniae ◽  
Liver Abscess ◽  
East China ◽  
Microbiological Characteristics

scholarly journals Treatment of pyogenic liver abscess in a tertiary hospital in South Africa

HPB ◽  
2020 ◽  
Vol 22 ◽  
pp. S405
Author(s):  
O. Chihaka ◽  
M. Bernon ◽  
U. Kotze ◽  
C. Kloppers ◽  
S. Burmeister ◽  
...  
Keyword(s):  
South Africa ◽  
Liver Abscess ◽  
Pyogenic Liver Abscess ◽  
Tertiary Hospital

scholarly journals Characteristics of Pyogenic Liver Abscess

2021 ◽  
Author(s):  
Nenad Pandak ◽  
Asmaa S. Mahdi ◽  
Ali Al Majrafi ◽  
Mariya Molay ◽  
Stepen S. Deenadayalan ◽  
...  
Keyword(s):  
Klebsiella Pneumoniae ◽  
Liver Abscess ◽  
Clinical Presentation ◽  
Anaerobic Bacteria ◽  
Pyogenic Liver Abscess ◽  
Tertiary Hospital ◽  
Empirical Treatment ◽  
Liver Malignancies ◽  
Intraabdominal Infections

Objectives: Liver abscess can develop as a complication of hepatobiliary disease or other intraabdominal infections, but more recently it is associated with primary and secondary liver malignancies and their treatment. The goal of this study was to analyze the epidemiology, etiology and clinical characteristics of pyogenic liver abscess in Oman. The intention was to obtain the information needed for the adequate liver abscess empirical treatment. Methods: This retrospective study took place in a tertiary hospital. Consecutive patients treated for the liver abscess during the five years period, from January 2013 until the end of 2017, were enrolled. Their demographic and clinical data were used to study the characteristics of pyogenic liver abscess in Oman. Results: Fifty-three patients with pyogenic liver abscess were enrolled in the study. They were predominantly male and younger than 60 years. Klebsiella pneumoniae was the most usual bacteria causing the liver abscess. Clinical presentation was unspecific and the abdominal pain and high fever were the most usual symptoms. Conclusion: The majority of pyogenic liver abscesses are caused by K. pneumoniae so the empirical treatment should be started with antibiotic directed against it. Further studies are needed to establish the local role of anaerobic bacteria in pyogenic liver abscess as well as to monitor the presence of hypervirulent K. pneumoniae in Oman. Keywords: Pyogenic liver abscess; Etiology; Epidemiology; Klebsiella pneumoniae.

Pyogenic Liver Abscess: A Retrospective Study of 105 Cases in an Emergency Department from East China

2017 ◽  
Vol 52 (4) ◽  
pp. 409-416 ◽  
Author(s):  
Li Liu ◽  
Wanjun Chen ◽  
Xiaoye Lu ◽  
Keji Zhang ◽  
Changqing Zhu
Keyword(s):  
Emergency Department ◽  
Retrospective Study ◽  
Liver Abscess ◽  
Pyogenic Liver Abscess ◽  
East China

scholarly journals Importation of Entamoeba histolytica and predominance of Klebsiella pneumoniae in liver abscesses: a 7-year retrospective cohort study from the United Arab Emirates

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Hussam Mousa ◽  
Ghada Salameh Mohammed Al-Bluwi ◽  
Zainab Fathi Mohammed Al Drini ◽  
Huda Imam Gasmelseed ◽  
Jamal Aldeen Alkoteesh ◽  
...  
Keyword(s):  
Klebsiella Pneumoniae ◽  
United Arab Emirates ◽  
Liver Abscess ◽  
Hospital Admissions ◽  
Indian Subcontinent ◽  
Pyogenic Liver Abscess ◽  
Primary Diagnosis ◽  
Incidence Rates ◽  
Liver Abscesses ◽  
Potential Risk Factors

Abstract Background There is a dearth of information on liver abscesses in the United Arab Emirates. Herein, we describe the clinical features of liver abscesses and determine their incidence rates and clinical outcomes. Methods We retrospectively reviewed the clinical charts of adult patients with a primary diagnosis of liver abscess at a major hospital over a 7-year period. Results Amongst 45 patients, 82.2% (37/45) had a pyogenic liver abscess (PLA) and 17.8% (8/45) had amoebic liver abscesses (ALA). Overall, patients were young (median age 42 years, IQR 35–52), mostly males (77.8%, 35/45) from the Indian subcontinent (55.6%, 25/45), presented with fever (88.9%, 40/45) and abdominal pain (88.9%, 40/45), and had a solitary abscess on imaging (71.1% (32/45). Crude annual incidence rates were 35.9/100,000 hospital admissions (95% CI 26.2–48.0) and 5.9/100,000 inhabitants (95% CI 4.3–7.9). All ALA patients were from the Indian subcontinent (100%, 8/8). Klebsiella pneumoniae was the most frequent pathogen in PLA (43.2% [16/37], 95% CI 27.1–60.5%). The hospital stay was shorter in ALA (7.5 days, IQR 7–8.5) than in PLA (14 days, IQR 9–17). No deaths were recorded within 30 days of hospitalisation. Conclusions ALA was exclusively seen in migrants from the Indian subcontinent, suggesting importation. Further research to characterise K. pneumoniae isolates and assess potential risk factors is needed.

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