scholarly journals Therapeutic Success in Amoebic and Pyogenic Liver Abscesses

2021 ◽  
Vol 3 (1) ◽  
pp. 1-10
Author(s):  
Azhari Gani ◽  
Malahayati
Keyword(s):  
Clinical Improvement ◽  
Liver Abscess ◽  
Bed Rest ◽  
Pyogenic Liver Abscess ◽  
Therapeutic Success ◽  
The Past ◽  
History Of ◽  
Surgical Sutures ◽  
Surgery Department

A 52 year old male patient presented with complaints of upper right abdominal pain since 1 month ago, worsening in the last 1 day. Fever has been complained of since 1 month ago, fever fluctuates indefinitely, comes down with fever-reducing drugs, complained of weakness. There is nausea and vomiting, vomiting 1-2 times per day, black vomit like coffee is not there. Complained about weight loss. BAK is like strong tea. Liquid defecation has been complained of since 5 weeks ago, initially liquid defecation was accompanied by mucus and blood with a frequency of 3-4 times per day for 3 days, at that time the patient went to the health center and complaints were reduced and now liquid CHAPTER 1-2 times a day is yellow, liquid, no mucus, no blood for the past 1 month. The patient is an agricultural instructor with his daily activities going down to the farm. History. History of diabetes mellitus denied. Patients diagnosed with multiple pyogenic liver abscess were treated at RSUDZA and received bed rest therapy, 1800 kcal / day soft food diet, IVFD NaCl 0.9% 20 drops per macro minute, metronidazole drip 500 mg every 8 hours, ciprofloxacin 2x 500 mg, intravenously paracetamol 1 gram every 8 hours. The patient was treated for 17 days, on the 10th day of hospitalization the patient was performed a laparotomy and multiple incisions of the liver abscess, purulent abscess fluid mixed with blood. The abscess fluid was cultured as a result of Entamoeba Colli, and metronidazole antibiotic therapy was continued. During treatment, the patient experienced clinical improvement, the patient was opened surgical sutures on the 10th and 15th day after laparotomy, the surgical wound improved, the patient experienced clinical improvement, currently the patient is still a control at the Internal Medicine and Surgery Department at Cut Nyak Dhien Meulaboh Hospital.

Pyogenic Liver Abscess in Normal Children With Fever of Unknown Origin

PEDIATRICS ◽  
1976 ◽  
Vol 58 (4) ◽  
pp. 614-616 ◽  
Author(s):  
Sheldon L. Kaplan ◽  
Ralph D. Feigin
Keyword(s):  
Abdominal Pain ◽  
Liver Abscess ◽  
Fever Of Unknown Origin ◽  
Unknown Origin ◽  
Pyogenic Liver Abscess ◽  
Liver Function Tests ◽  
Blood Cultures ◽  
Normal Children ◽  
The Past ◽  
Liver Abscesses

Solitary pyogenic hepatic abscesses were identified as the cause of fever, abdominal pain, and hepatomegaly in two otherwise normal children who were seen at St. Louis Children's Hospital during the past year. Liver function tests were normal and blood cultures were negative in both patients. These cases illustrate that pyogenic liver abscess may occur in normal children and should be considered whenever fever of unknown origin is associated with abdominal complaints. Only in this way can we hope to improve upon the results cited previously, namely that the majority of liver abscesses remain undiagnosed during life.

scholarly journals Presentation and Management of Pyogenic Liver Abscess in Surgery Department: About 34 Cases

2014 ◽  
Vol 3 (11) ◽  
pp. 1349-1356 ◽  
Author(s):  
Bassam Nasr ◽  
◽  
Fethi Derbel ◽  
Malek Barka ◽  
Waad Farhat ◽  
...  
Keyword(s):  
Liver Abscess ◽  
Pyogenic Liver Abscess ◽  
Surgery Department

scholarly journals Patroni ulic i placów w miasteczku akademickim Uniwersytetu Warmińsko-Mazurskiego w Kortowie

1970 ◽  
pp. 181-199
Author(s):  
Joanna Maria Garbula Joanna Maria Garbula
Keyword(s):  
Animal Husbandry ◽  
The Past ◽  
Places Of Memory ◽  
History Of ◽  
Dairy Science ◽  
The Rich ◽  
A Site ◽  
The University ◽  
Rich History

This article revolves around the memory of a site, i.e. the past captured in sources, reported memories of witnesses of events and symbols. The examples of such places of memory examined here are the streets and squares on the UWM Kortowo campus. They consist of references to the past which has significance for contemporary times. The article consists of an introduction and two chapters. The introduction presents the rich history of Kortowo, spanning several centuries from the Old Prussian settlements to the establishment of the University of Warmia and Masuria in Olsztyn. Chapter 1 is dedicated to the history of the streets and squares on the Kortowo campus from the time when, to make the academic community’s life easier, the university authorities gave names to the streets on the campus, following the specific faculties’ suggestions. The streets were named after M. Oczapowski (an agronomist, theorist of agriculture, pioneer of agricultural experimentation), R. Prawocheński (an expert in animal husbandry), J. Licznerski (a pioneer of modern dairy science), K. Obitz (Doctor of veterinary medicine, a journalist, a social activist in Masuria), J. Hevelius (an astronomer from Gdansk), B. Dybowski (a biologist and traveller), C. Kanafojski (Professor of automation in agriculture). Chapter 2 presents short biographies of three of the seven street patrons: B. Dybowski, K. Obitz and R. Prawocheński, who are the most characteristic and multi-dimensional figures. The names of the streets reflect the memory of the scientific, social and personal achievements of these individuals, at the same time justifying their selection as patrons.

scholarly journals Pyogenic liver abscess: a retrospective study of 208 cases in a single surgery department

HPB ◽  
2018 ◽  
Vol 20 ◽  
pp. S487
Author(s):  
O.A. Nutu ◽  
I. Justo Alonso ◽  
M. García-Conde Delgado ◽  
A.A. Marcacuzco Quinto ◽  
L. Alonso Murillo ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Liver Abscess ◽  
Pyogenic Liver Abscess ◽  
Surgery Department

ID: 29: INVASIVE LIVER ABSCESS SYNDROME IN NORTH AMERICA

2016 ◽  
Vol 64 (4) ◽  
pp. 938.2-939
Author(s):  
A Al-khazraji ◽  
H Alkhawam ◽  
B Garrido
Keyword(s):  
Urinary Tract ◽  
Liver Abscess ◽  
Urinary Tract Infections ◽  
Pyogenic Liver Abscess ◽  
Medical Attention ◽  
Klebsiella Pneumonia ◽  
Ct Guided ◽  
Western Countries ◽  
The Past ◽  
Tract Infections

Case presentationThis is a 25 years old Pilipino male with no past medical history who presented with fever, rigors, fatigue and night sweats for 3 days. His symptoms progressively getting worse which made him seek medical attention. Patient travelled to Philippines five months ago which he stayed for a month.Upon presentation, patient was febrile with Temp 104 F and tachycardic 139 BPM, BP113/76. He appeared to be diaphoretic and tachypnic on physical exam. Abdomen was soft and non-tender, no hepatomegaly or splenomegaly on palpation.Pertinent laboratory findings included leukocytosis of 14,000 and bandemia 12, lactate of 3.6, Liver function tests – AST 62/ALT 61/ ALK 52 GGT 48 LDH 347 Total bilirubin 2.5 and direct Bilirubin 1.6 – Hepatitis serology revealed immunity against Hepatitis B (HBV). Coagulation panel and renal function were normal. Abdominal imaging revealed diffuse hepatic changes suggestive of cirrhosis and complex avascular slightly lobulated hypoechoic mass with mild posterior enhancement measuring 7.2×6.8 cm noted in the anteromedial portion of posterior segment of the right lobe (figure 1A and B).Further tests including HIV testing, urine analysis, blood and urine cultures, Echinococcosis and Amoebic serology were none revealing. Empirical broad spectrum antibiotics with 3rd generation cephalosporin and metronidazole for possible amoebic verus pyogenic liver abscess.After 3–4 days from admission date, he developed persistent rigors, tachycardia, and appeared to have respiratory distress which required an urgent intubation for acute respiratory failure and transferred to ICU. Urgent drainage attempted for pyogenic liver abscess. Abscess fluid culture was positive for Klebsiella pneumonia.Patient received an intravenous ceftriaxone 2 gm daily with continuous Jackson-Pratt liver drain suction for 3–4 weeks which was curative with resolution and decrease in the size of liver abscess on repeat imaging (figure 1c).DiscussionKlebsiella pneumoniae, a member of the Enterobacteriaceae family, is a pathogen with worldwide distribution. Most community-acquired Klebsilla pneumoniae infections cause pneumonia or urinary tract infections. Invasive liver abscess syndrome is very rare in western countries. For the past 2 decades, a distinct clinical syndrome has been emerging in Southeast Asia that is characterized by bacteremia, liver abscesses, and metastatic infections. In the past decade, few patients were diagnosed as having a liver abscess caused by K pneumoniae in two case series in the USA.Most community-acquired Klebsilla pneumoniae infections cause pneumonia or urinary tract infections. Invasive liver abscess syndrome is very rare in western countries. Clinicians should be aware about invasive klebsiella pneumonia liver abscess especially in patients with Asian background presented with liver abscess failed the treatment with antibiotics. Treatment of invasive klebsiella pneumonia liver abscess requires dual approach medical and surgical as we approached our patient which he subsequently improved after CT-guided liver abscess drainage and four weeks of antibiotics therapy.Abstract ID: 29 Figure 1

scholarly journals Cryptogenic Pyogenic Liver Abscess Due to Fusobacterium nucleatum in an Immunocompetent Patient

2020 ◽  
Author(s):  
Neeraja Swaminathan ◽  
Francisco Aguilar
Keyword(s):  
Liver Abscess ◽  
Fusobacterium Nucleatum ◽  
Pyogenic Liver Abscess ◽  
Immunocompetent Patient ◽  
Immunocompetent Host ◽  
Source Of Infection ◽  
Function Test ◽  
History Of ◽  
Anaerobic Infections ◽  
Dental Work

In this case, a 76-year-old female presented with 3–4 days of fever with no other localizing signs. Notably, she had had an untreated Fusobacterium bacteraemia approximately 8 weeks prior to admission. She underwent abdominal imaging which demonstrated a liver abscess and had percutaneous drainage of the same. Blood and pus cultures both grew Fusobacterium nucleatum, which is an unusual organism to be associated with a liver abscess, especially in an immunocompetent host with no risk factors for this condition. Interestingly, this patient did not have any history of dental work, instrumentation, liver function test (LFT) abnormalities and no extrahepatic source for the abscess. This case highlights the importance of having a high index of clinical suspicion for an occult source of infection and emphasizes the importance of following up on cultures even after discharge of a patient, since anaerobic infections such as those caused by Fusobacterium can have a largely indolent course.

scholarly journals Clinical Features and Prognosis of Gas-forming and Non-gas-forming Pyogenic Liver Abscess: A Comparative Study

2020 ◽  
Author(s):  
Jia Zhang ◽  
Yi Gao ◽  
Zhaoqing Du ◽  
Yifan Ren ◽  
Jianbin Bi ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Clinical Features ◽  
Liver Abscess ◽  
Pathogenic Bacteria ◽  
Early Stage ◽  
Pyogenic Liver Abscess ◽  
Hepatobiliary Surgery ◽  
History Of ◽  
Hospital Stays ◽  
Background Gas

Abstract Background Gas-forming pyogenic liver abscess (GFPLA) accounts for up to 30% of all pyogenic liver abscess (PLA) cases. However, little is known of the differences in clinical features and prognosis between GFPLA and non-GFPLA. Aim This retrospective study compared the clinical features and prognosis of GFPLA and non-GFPLA. Methods Data of 392 patients with PLA treated from 1 January 2007 to 31 December 2016 were reviewed. GFPLA was defined as gas in the abscess. Liver abscesses were considered non- GFPLA (n = 326) or GFPLA (n = 66). The clinical features and outcomes of patients with GFPLA were compared relative to that of patients without GFPLA. Results The groups were similar in gender ratio, age, smoking, drinking, and coexistences. Klebsiella pneumoniae was the most common pathogenic bacteria, but the negative rate of bacterial culture of the non-GFPLA group was significantly higher than that of the GFPLA, and the GFPLA group had a significantly higher rate of previous abdominal surgery, especially hepatobiliary surgery. Compared with the non-GFPLA group, the percentage of the GFPLA group with antibiotics combined with percutaneous drainage was significantly higher, while the percentages given antibiotics alone and antibiotics combined with surgical drainage were significantly lower. GFPLA patients had significantly higher rates of sepsis and pleural effusion, and longer hospital stays than did non-GFPLA patients. No patient died during hospitalization. Conclusions GFPLA is associated with past abdominal surgery, especially hepatobiliary surgery. Patients with a history of abdominal surgery should be monitored more closely in the early stage of the PLA. GFPLA has high rates of sepsis and long hospitalization. It needs to be recognized as a distinct clinical entity.

Toni Morrison’s Sacramental Rememory

2018 ◽  
pp. 13-66
Author(s):  
Erin Michael Salius
Keyword(s):  
American South ◽  
Complete Picture ◽  
Sociological Study ◽  
Social Death ◽  
The Past ◽  
Religious Vision ◽  
Constant Tension ◽  
History Of ◽  
The American South

Chapter 1 considers two novels by Toni Morrison which are widely celebrated for undermining Enlightenment rationalism: Beloved and A Mercy. As critics often note, Morrison’s concept of rememory—an antirealist trope, premised on the supernatural irruption of the past in the present—achieves this by imagining an alternative history of slavery. Yet a complete picture of these novels requires an account of the way that Morrison structures rememory—quite remarkably and with palpable historical reservations—as a Catholic sacrament. The chapter therefore addresses a significant gap in scholarship on Morrison (who identifies as Catholic), but never does it imply that her religious vision is uncritical or pure. Rather, it suggests that the sacramental aspects of rememory are in constant tension with the sharp critique of Catholicism evident in both novels. That critique builds upon the sociological study of slave religion that Orlando Patterson developed in Slavery and Social Death, particularly his pioneering claim that “the special version of Protestantism” which arose in the American South as slave religion was, in key respects, theologically “identical” to Catholicism.

History-Taking

2016 ◽  
pp. 173-186
Author(s):  
Donald W. Winnicott
Keyword(s):  
Family History ◽  
Past History ◽  
History Taking ◽  
Clinical Notes ◽  
The Past ◽  
The Family ◽  
History Of

Chapter 1 of Clinical Notes on Disorders of Childhood. In this chapter, Winnicott argues for the importance of history taking in child medicine: the past history of the child, the family history, and the history of onset of the illness. He gives several cases which illustrate the value to the physician of taking the time to hear a full history.

scholarly journals A case report of pyogenic liver abscess caused by hypervirulent Klebsiella pneumoniae diagnosed by metagenomic next-generation sequencing

2021 ◽  
Vol 49 (7) ◽  
pp. 030006052110327
Author(s):  
Jiafeng Xie ◽  
Zhiqiang Zhu
Keyword(s):  
Case Report ◽  
Next Generation Sequencing ◽  
Klebsiella Pneumoniae ◽  
Liver Abscess ◽  
Pyogenic Liver Abscess ◽  
Next Generation ◽  
Drainage Fluid ◽  
String Test ◽  
History Of ◽  
Generation Sequencing

A 56-year-old woman with a history of diabetes mellitus presented with high fever but no abdominal pain. An abdominal computed tomography scan showed a large liver abscess. Hypervirulent, string test-positive, rmpA/ ampA2-, and iutA-positive Klebsiella pneumoniae was rapidly identified from drainage fluid of the liver abscess using metagenomic next-generation sequencing (mNGS). After intravenous antibiotic therapy and drainage of the abscess, the patient’s condition resolved. This case report highlights the value of mNGS in rapidly and accurately identifying a pathogenic microorganism, which helps reduce the incidence of antimicrobial resistance and enables the targeted use of antibiotics.

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