Pyogenic hepatic abscess. A 10-year population-based retrospective study
A 10‐year retrospective survey was undertaken of patients with pyogenic hepatic abscesses (PHA). Fifty‐two patients fulfilled the criteria of PHA, equivalent to a mean annual incidence of 11/1,000,000. The main symptom was fever. Laboratory tests were compatible with infection, slightly elevated alk...
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| Published in: | APMIS : acta pathologica, microbiologica et immunologica Scandinavica Vol. 106; no. 1-6; pp. 396 - 402 |
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| Format: | Journal Article |
| Language: | English |
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Oxford, UK
Blackwell Publishing Ltd
01-01-1998
Blackwell |
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| Abstract | A 10‐year retrospective survey was undertaken of patients with pyogenic hepatic abscesses (PHA). Fifty‐two patients fulfilled the criteria of PHA, equivalent to a mean annual incidence of 11/1,000,000. The main symptom was fever. Laboratory tests were compatible with infection, slightly elevated alkaline phosphatase being the only test pointing towards the liver as the focus of infection. Forty‐one patients (79%, 95% CL, 68–90%) had positive cultures from aspirated pus, with a total of 79 isolates. Enteric Gram‐negative rods accounted for 45% and anaerobic bacteria for 31% of PHA isolates. Gram‐positive cocci, predominantly non‐haemolytic streptococci, were the third largest group (19%), but were rare among blood isolates. Positive blood cultures were found in 21 patients (40%, 95% CL, 27–54%), with a total of 28 isolates. Percutaneous drainage was performed in 26, percutaneous needle aspiration in 10, combinations thereof in 5, and abdominal surgery in 5. Forty‐nine patients received systemic antibiotic therapy, four of whom were treated with antibiotics only. Seven recurrences occurred and the overall case fatality rate was 6% (95%, CL 0–12%), which might reflect a low rate of underlying malignant diseases in our study material. |
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| AbstractList | A 10‐year retrospective survey was undertaken of patients with pyogenic hepatic abscesses (PHA). Fifty‐two patients fulfilled the criteria of PHA, equivalent to a mean annual incidence of 11/1,000,000. The main symptom was fever. Laboratory tests were compatible with infection, slightly elevated alkaline phosphatase being the only test pointing towards the liver as the focus of infection. Forty‐one patients (79%, 95% CL, 68–90%) had positive cultures from aspirated pus, with a total of 79 isolates. Enteric Gram‐negative rods accounted for 45% and anaerobic bacteria for 31% of PHA isolates. Gram‐positive cocci, predominantly non‐haemolytic streptococci, were the third largest group (19%), but were rare among blood isolates. Positive blood cultures were found in 21 patients (40%, 95% CL, 27–54%), with a total of 28 isolates. Percutaneous drainage was performed in 26, percutaneous needle aspiration in 10, combinations thereof in 5, and abdominal surgery in 5. Forty‐nine patients received systemic antibiotic therapy, four of whom were treated with antibiotics only. Seven recurrences occurred and the overall case fatality rate was 6% (95%, CL 0–12%), which might reflect a low rate of underlying malignant diseases in our study material. |
| Author | SCHØNHEYDER, HENRIK CARL HANSEN, PER SYRAK |
| Author_xml | – sequence: 1 givenname: PER SYRAK surname: HANSEN fullname: HANSEN, PER SYRAK organization: Department of Clinical Microbiology, Aalborg Hospital, Aalborg, Denmark – sequence: 2 givenname: HENRIK CARL surname: SCHØNHEYDER fullname: SCHØNHEYDER, HENRIK CARL organization: Department of Clinical Microbiology, Aalborg Hospital, Aalborg, Denmark |
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| Keywords | Human Prognosis Liver Abscess Hepatic disease Epidemiology Incidence Infection Pyogenic Treatment Etiology Bacteriosis Digestive diseases Public health |
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Obstet. contributor: fullname: Roberts J. H. – ident: e_1_2_1_23_2 doi: 10.1016/0002-9610(80)90417-1 – ident: e_1_2_1_3_2 doi: 10.1016/S0140-6736(82)90381-6 – ident: e_1_2_1_11_2 doi: 10.3109/00365529609031980 |
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| Snippet | A 10‐year retrospective survey was undertaken of patients with pyogenic hepatic abscesses (PHA). Fifty‐two patients fulfilled the criteria of PHA, equivalent... A 10-year retrospective survey was undertaken of patients with pyogenic hepatic abscesses (PHA). Fifty-two patients fulfilled the criteria of PHA, equivalent... |
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| SubjectTerms | abscess Adolescent Adult Aged Aged, 80 and over Bacteria - isolation & purification Bacterial diseases Bacterial diseases of the digestive system and abdomen Biological and medical sciences Child Female follow-up Follow-Up Studies Human bacterial diseases Humans Infectious diseases Liver Liver Abscess - diagnosis Liver Abscess - microbiology Liver Abscess - therapy Male Medical sciences microbiology Middle Aged Retrospective Studies therapy |
| Title | Pyogenic hepatic abscess. A 10-year population-based retrospective study |
| URI | https://api.istex.fr/ark:/67375/WNG-17JMQSGF-9/fulltext.pdf https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fj.1699-0463.1998.tb01363.x https://www.ncbi.nlm.nih.gov/pubmed/9548429 https://search.proquest.com/docview/17169728 https://search.proquest.com/docview/79795592 |
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