title: [Pyogenic liver abscess. A descriptive study of 35 cases].
abstract: Thirty-five patients with pyogenic hepatic abscess (PHA) attended over 13 years in a general hospital were studied. The aim of the study was to know the usefulness of the performance of opaque enema in patients with cryptogenic PHA and the prognosis of the patients treated with only antibiotics. The most frequent clinical and analytical manifestations were fever and leukocytosis. Other less frequent findings were abdominal pain, hepatomegaly and elevated alkaline phosphatase and aspartate aminotransferase levels. One third of the patients presented radiologic alterations at the base of the right hemithorax. Colon studies in the patients with cryptogenic PHA performed to discard another origin of the abscess demonstrated very low profitability. Abdominal echography showed adequate sensitivity (0.85) in the diagnosis of PHA and allowed percutaneous drainage to be performed in most of the cases. The patients who were treated with only antibiotics presented a significantly worse prognosis than those treated with antibiotics and drainage (p = 0.03). Drainage of the PHA also allowed a decrease in the length of fever duration.
authors: Servicios de Medicina Interna III, Clinica Puerta de Hierro. Madrid.
authors: A
authors: A
authors: Ramos
authors: T
authors: T
authors: Gazapo
authors: J
authors: J
authors: Murillas
authors: H
authors: H
authors: Martín
authors: P
authors: P
authors: Mendaza
authors: V
authors: V
authors: Cuervas-Mons
mesh_terms: D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage; D005260:Female; D006801:Humans; D008100:Liver Abscess / Q000175:diagnosis / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D013492:Suppuration
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Absceso hepático piógeno. Estudio descriptivo de 35 casos.