Haris Alvi, Aslam Arain.
To Evaluate Different Features of Pyogenic Liver Abscess.
Med Forum Jan ;2(7):6-9.

Objective: To evaluate different features of pyogenic liver abscess . Study Design: Prospective descriptive study. Place and Duration of Study: This study was conducted in the Medical Department of Al Tibri Medical College & Hospital, Karachi from Jan 2011 t0 Jan 2013. Materials and Methods: Patient presented with upper abdominal pain and fever of more than two weeks duration. All patients undergone ultrasound of abdomen reported at Al Tibri Medical College & hospital were enrolled in the study. All data was recorded in a preset proforma and features like biodata, symptoms, sign, biochemical test, ultrasonographic finding, culture and sensitivity of pus were assessed. The data were analyzed on SPSS version 15. Results: Total cases were 67. Male were 47 and female were 20. The mean age was 47 +18.With range from 29 to 65 years. Male were more as compared with females. The commonest symptoms were abdominal pain in 43 cases (64%) , fever was in 39 cases (58%), anorexia was in 39 cases (58%),Jaundice was in 29 cases (43%), weight loss in 24 cases (37%), raised ESR was in 42 cases (62%), raised leukocyte count was in 57 cases (86%), raised bilirubin in 46 cases (69%)ALT was raised in 27cases (40%)and alkaline phosphatase was raised in 20 cases(29%), ultrasound abdomen showing single abscess in 55 cases (83%) and multiple in 12 cases (17 %), right lobe involvement in 53 cases (79%), left lobe involvement in 14 cases (21 %), 37 cases (55%)were under gone therapeutic percutaneous ultrasound guided aspiration of the abscess . Culture were positive in 49 cases (73%), in which Klebsella pneumonia was the commonest organism found in 22 cases (45%), Enterococcus supp were in 11 cases (23 %), E-coli were in 9 cases (18%), While the culture is negative in 18 cases (27%). No mortality were recorded . Conclusion: The pyogenic liver abscess is one of the common cause of upper abdominal pain and fever of longer duration.

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