A clinical study on liver abscess over a recent 10-year period.
- Author:
Dae Won KIM
1
;
Sang Pyo HAN
;
Sang Jung KIM
;
Bong Ki CHA
;
Gee Young ANN
;
Seung Mun JUNG
;
Seung Mun KIM
;
Jae Hyuk DO
;
Jae Gyu KIM
;
Sae Kyung CHANG
;
Sil Moo PARK
Author Information
1. Department of Internal Medicine, College of Medicine, Chung-Ang University, Seoul, Korea. mdskc@cau.ac.kr
- Publication Type:Original Article
- Keywords:
Biliary tract disease;
Diabetes mellitus;
Malignancy;
Liver abscess
- MeSH:
Abdominal Pain;
Abscess;
Anti-Bacterial Agents;
Biliary Tract Diseases;
Catheters;
Chills;
Diabetes Mellitus;
Diagnosis;
Drainage;
Female;
Fever;
Humans;
Hypoalbuminemia;
Liver Abscess*;
Liver*;
Male;
Mortality;
Needles;
Pneumonia;
Retrospective Studies;
Risk Factors
- From:Korean Journal of Medicine
2004;66(5):478-486
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The mortality of liver abscess has remained relatively constant during this century despite earlier diagnosis, treatment of underlying causes and more aggressive antibiotics therapy. The aims of this study were to evaluate the risk factors that associated with mortality of liver abscess. METHODS: This study was carried out retrospectively including 70 patients with liver abscess from January 1992 to August 2001. The clinical features, laboratory, imaging, and microbiologic findings, management strategy, and final outcome were studied, and prognostic factors were analyzed. RESULTS: There were 37 males and 33 females whose ages ranged from 17 to 89 years. The mean age of the patients was 57 years, and the male to female ratio was 1.1:1. In the major part of patients, the abscess was located in the right lobe (61.4%) and single in number (78.5%). Upper abdominal pain, fever and chills were the most common symptoms, and right upper abdominal tenderness was the most common physical findings. Twenty-six percent of patients were diabetic and 40%, 10% had biliary tract disease, malignancy on presentation, respectively. A hypoalbuminemia (
