Liver abscess - Revision history

Aidan: Text replacement - " species]]" to "]]"

2022-02-01T04:02:45Z

Text replacement - " species]]" to "]]"

← Older revision		Revision as of 04:02, 1 February 2022
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	**[[Gram-negative bacteria]]		**[[Gram-negative bacteria]]
	***''[[Escherichia coli]]''		***''[[Escherichia coli]]''
	***[[Klebsiella ~~species~~]], especially hypermucoviscous [[Klebsiella pneumoniae]]		***[[Klebsiella]], especially hypermucoviscous [[Klebsiella pneumoniae]]
	***Less common: ''[[Pseudomonas aeruginosa]]'', ''[[Proteus]]'', ''[[Enterobacter]]'', ''[[Citrobacter]]'', and ''[[Serratia]]''		***Less common: ''[[Pseudomonas aeruginosa]]'', ''[[Proteus]]'', ''[[Enterobacter]]'', ''[[Citrobacter]]'', and ''[[Serratia]]''
	**[[Gram-positive bacteria]]		**[[Gram-positive bacteria]]
	***[[Streptococcus ~~species~~]], especially [[Streptococcus anginosus group]]		***[[Streptococcus]], especially [[Streptococcus anginosus group]]
	***[[Enterococcus ~~species~~]]		***[[Enterococcus]]
	***Other [[Viridans group streptococci]]		***Other [[Viridans group streptococci]]
	***Less common ''[[Staphylococcus aureus]]'' and ''[[Streptococcus pyogenes]]''		***Less common ''[[Staphylococcus aureus]]'' and ''[[Streptococcus pyogenes]]''
	**[[Anaerobes]]		**[[Anaerobes]]
	***[[Bacteroides ~~species~~]]		***[[Bacteroides]]
	***Less common: [[Fusobacterium]], anaerobic streptococci, [[Clostridium ~~species~~]], ''[[Lactobacillus]]''		***Less common: [[Fusobacterium]], anaerobic streptococci, [[Clostridium]], ''[[Lactobacillus]]''
	**Fungi (rare): [[Candida ~~species~~]]		**Fungi (rare): [[Candida]]
	*Amebic		*Amebic
	**''[[Entamoeba histolytica]]''		**''[[Entamoeba histolytica]]''

Aidan: /* Microbiology */

2020-09-16T23:52:46Z

Microbiology

← Older revision		Revision as of 23:52, 16 September 2020
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	**[[Gram-negative bacteria]]		**[[Gram-negative bacteria]]
	***''[[Escherichia coli]]''		***''[[Escherichia coli]]''
	***[[Klebsiella species]]		***[[Klebsiella species]], especially hypermucoviscous [[Klebsiella pneumoniae]]
	***Less common: ''[[Pseudomonas aeruginosa]]'', ''[[Proteus]]'', ''[[Enterobacter]]'', ''[[Citrobacter]]'', and ''[[Serratia]]''		***Less common: ''[[Pseudomonas aeruginosa]]'', ''[[Proteus]]'', ''[[Enterobacter]]'', ''[[Citrobacter]]'', and ''[[Serratia]]''
	**[[Gram-positive bacteria]]		**[[Gram-positive bacteria]]

Aidan: /* Microbiology */

2020-09-16T23:51:46Z

Microbiology

← Older revision		Revision as of 23:51, 16 September 2020
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	*Pyogenic		*Pyogenic
			**Polymicrobial in 20-50% (more in abscesses from biliary source)
	**[[Gram-negative bacteria]]		**[[Gram-negative bacteria]]
	***''[[Escherichia coli]]''		***''[[Escherichia coli]]''

Aidan: /* Risk Factors */

2020-07-28T00:40:22Z

Risk Factors

← Older revision		Revision as of 00:40, 28 July 2020
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	*Likely more common in [[diabetes mellitus]], cardiopulmonary disease, malignancy, and cirrhosis		*Likely more common in [[diabetes mellitus]], cardiopulmonary disease, malignancy, and cirrhosis
	*Neutrophil dysfunction, including [[chronic granulomatous disease]]		*Neutrophil dysfunction, including [[chronic granulomatous disease]]
	*[[Hemochromatosis]], especially for abscesses involving [[Yersinia enterocolitica]]		*[[Hemochromatosis]], especially for abscesses involving [[Yersinia enterocolitica\|''Yersinia enterocolitica'']]

	==Clinical Manifestations==		==Clinical Manifestations==

Aidan: /* Investigations */

2020-07-28T00:15:11Z

Investigations

← Older revision		Revision as of 00:15, 28 July 2020
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	*Blood cultures are about 50% sensitive		*Blood cultures are about 50% sensitive
	*Imaging with ultrasound or CT is important		*Imaging with ultrasound or CT is important
	*Consider ''E. histolytica'' serology to rule out ~~amebic~~ liver abscess, since the syndromes cannot reliably be distinguished clinically		*Consider ''[[Entamoeba histolytica]]'' serology to rule out amoebic liver abscess, since the syndromes cannot reliably be distinguished clinically

	==Management==		==Management==

Aidan: /* Microbiology */

2020-07-26T20:26:18Z

Microbiology

← Older revision		Revision as of 20:26, 26 July 2020
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	***[[Bacteroides species]]		***[[Bacteroides species]]
	***Less common: [[Fusobacterium]], anaerobic streptococci, [[Clostridium species]], ''[[Lactobacillus]]''		***Less common: [[Fusobacterium]], anaerobic streptococci, [[Clostridium species]], ''[[Lactobacillus]]''
			**Fungi (rare): [[Candida species]]
	*Amebic		*Amebic
	**''[[Entamoeba histolytica]]''		**''[[Entamoeba histolytica]]''

Aidan: /* Risk Factors */

2020-07-26T20:20:59Z

Risk Factors

← Older revision		Revision as of 20:20, 26 July 2020
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	*Amebic: see ''[[Entamoeba histolytica]]''		*Amebic: see ''[[Entamoeba histolytica]]''

	=== Risk Factors ===		===Risk Factors===

	* Likely more common in [[diabetes mellitus]], cardiopulmonary disease, malignancy, and cirrhosis		*Likely more common in [[diabetes mellitus]], cardiopulmonary disease, malignancy, and cirrhosis
	* Neutrophil dysfunction, including [[chronic granulomatous disease]]		*Neutrophil dysfunction, including [[chronic granulomatous disease]]
	* [[Hemochromatosis]]		*[[Hemochromatosis]], especially for abscesses involving [[Yersinia enterocolitica]]

	==Clinical Manifestations==		==Clinical Manifestations==

Aidan: added risk factors

2020-07-26T20:20:22Z

added risk factors

Show changes

Aidan: Text replacement - "Clinical Presentation" to "Clinical Manifestations"

2020-07-20T06:23:44Z

Text replacement - "Clinical Presentation" to "Clinical Manifestations"

← Older revision		Revision as of 06:23, 20 July 2020
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	* Amebic: see ''[[Entamoeba histolytica]]''		* Amebic: see ''[[Entamoeba histolytica]]''

	== Clinical ~~Presentation~~ ==		== Clinical Manifestations ==
	* Most common signs are fever, abdominal pain, leukocytosis, and an elevated alkaline phosphatase		* Most common signs are fever, abdominal pain, leukocytosis, and an elevated alkaline phosphatase
	** Often presents with fevers alone, however		** Often presents with fevers alone, however

Aidan: /* Management */

2020-02-13T21:55:12Z

Management

← Older revision		Revision as of 21:55, 13 February 2020
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	== Management ==		== Management ==
	* Get source control		* Get source control
			* Antibiotics should be broad-spectrum, such as [[Is treated by::piperacillin-tazobactam]], [[Is treated by::ertapenem]] or [[Is treated by::meropenem]], [[Is treated by::ceftriaxone]] plus [[Is treated by::metronidazole]], or [[Is treated by::ciprofloxacin]] plus [[Is treated by::metronidazole]]
	* Treat for 4-6 weeks, ensuring radiological resolution of abscess		* Treat for 4-6 weeks total, ensuring radiological resolution of abscess
			** Can step down to oral therapy after 2 to 3 weeks if responding appropriately

	[[Category:Intra-abdominal infections]]		[[Category:Intra-abdominal infections]]