Liver Infections

Liver Infections

Liver Abscess


Pathology:                Commonest sites are bowel and biliary systems

Common bacteria are Staphylococcus Aureus, Streptococcus Pyogenes, Streptococcus Milleri (associated with bowel carcinoma) and Escherichia coli


Aetiology:                 Usually a result of haematological spread of a bacterial infection


Symptoms:               Fever, right upper quadrant pain, rigors,


Signs:                          Right upper quadrant tenderness, hepatomegaly, jaundice, fever, signs of sepsis


Investigations:      Bloods: ↑WCC,↑CRP LFT: ↑ALT, ↑ALP, bilirubin can be ↑, Blood cultures

Microbiology: Aspiration of abscess

Imaging: Ultrasound or CT Abdomen to locate underlying cause


Treatment:              Medical: Antibiotics

Surgical: Drainage of abscess


Complications:      Liver Sepsis, empyema, peritonitis


Prognosis:               Poor prognosis due to potential complications of liver sepsis 

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