A case of pyogenic liver abscess in a 10-year-old girl.
10.3345/kjp.2010.53.5.666
- Author:
Jung Lim BYUN
1
;
Sun Hwan BAE
;
Sang Woo PARK
Author Information
1. Department of Pediatrics, School of Medicine, Konkuk University, Seoul, Korea. baedori@hanafos.com
- Publication Type:Case Report
- Keywords:
Liver abscess;
Child;
Antibiotics;
Drainage
- MeSH:
Abscess;
Anti-Bacterial Agents;
Child;
Drainage;
Follow-Up Studies;
Humans;
Liver Abscess;
Liver Abscess, Pyogenic;
Subphrenic Abscess
- From:Korean Journal of Pediatrics
2010;53(5):666-668
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pyogenic liver abscesses are rare in children. In pediatric patients, altered host defences seem to play an important role. However, pyogenic liver abscess also occurs in healthy children. We experienced a case of pyogenic liver abscess in a healthy immunocompetent 10-year-old-girl. The patient presented two distinct abscesses: one subphrenic and the other intrahepatic. The intrahepatic abscess resolved with percutaneous drainage and 3 weeks of parenteral antibiotic therapy but the subphrenic abscess which could not be drained needed prolonged parenteral antibiotic therapy in addition to oral antibiotic therapy. We performed follow-up serial CT scan of the abscess cavity to decide on the duration of antibiotic therapy. Here we present this case with a brief review of the literature.