The liver is the organ most susceptible to the formation of abscesses, which can be solitary or multiple, and that can occur due to the spread of bacteria in the blood or the local spread of infection points in the peritoneal cavity, near the liver, such as appendicitis, diseases related to the bile ducts or pileflebit, for example.
In addition, liver abscess is a condition that can also be caused by protozoa, called amebian liver abscess.
- Treatment depends on the body causing the infection but usually involves antibiotic administration.
- Abscess drainage or more severe cases.
- It may be recommended to resort to surgery.
Signs and symptoms that usually occur in people with liver abscesses are fever and in some people, especially those with bile duct-associated disease, they may show signs and symptoms in the upper right quadrant, such as abdominal pain.
In addition, chills, anorexia, weight loss, nausea and vomiting may also occur.
However, only about half of people with liver abscess have enlarged liver, right upper quadrant palpation, or jaundice, i.e. many people have no symptoms that direct attention to the liver.Dark fever may be the only manifestation of a liver.abscess, especially in the elderly.
Liver abscess can be caused by different microorganisms, such as bacteria or even fungi, that can occur from the spread of bacteria in the blood or the local spread of infectious spots in the peritoneal cavity near the liver, such as appendicitis.diseases associated with the bile duct or stack-shaped like what.Learn more about appendicitis and how you can identify it.
In addition, liver abscesses can also be amebianns
The amebian liver abscess is an infection of the liver by protozoa.The disease begins when the protozoa of E.Histolytica penetrate through the intestinal lining, through the portal circulation and reach the liver.Most patients with this disease have no signs or symptoms or the presence of protozoa in their stool.
The disease can occur from several months to several years after a trip or residence in an endemic area, so it is important to know the careful history of the trip to make the diagnosis. The most common symptoms are pain in the upper right quadrant, fever and sensitivity in the liver.
The most common laboratory data are leukocytosis, high alkaline phosphatase, mild anemia and high globular sedimentation rate.
The only most reliable laboratory result is an increase in serum concentration of alkaline phosphatase, which is generally high in people with liver abscess.In about half of cases an increase in bilirubin and aspartate aminotransfers in the blood, leukocytosis, anemia and hypoalbuminemia may also occur.
Imaging tests are generally the most reliable tests to diagnose this disease, such as ultrasound, CT, leukocyte scanning marked with Indian or gallium, and MRI.A chest x-ray may also be taken.
Diagnosis of amebian liver abscess is based on ultrasound or CT screening of one or more space-occupying lesions in the liver and a positive serological test for anti-antigen E antibodies.Histolithic.
Treatment can be done by percutaneous drainage, with a catheter with side holes held in place, and specific antibiotic remedies can also be used for the microorganism responsible for infection after sampling abscess., more time is required for antibiotic treatment.
If the infection is caused by candida, treatment usually involves administration of amphoterinin, with additional treatment with fluconazole, in some cases only fluconazole treatment may be used, i.e. in clinically stable persons whose isolated microorganism is susceptible to this remedy.
Drugs such as nitroimidazole, tinidazole and metronidazole can be used for the treatment of amebian liver abscess.So far, this protozoa has shown no resistance to any of these drugs.Drainage of amebian liver abscesses is rarely necessary.