title: Pediatric pyogenic liver abscess.
abstract: Pyogenic liver abscess (PLA) is a rare pediatric disease. Typically, PLA is found in adults with biliary disease. There are no typical physical findings or symptoms. Often, pathogenic organisms are not recovered for identification. This case illustrates a teenager presenting with prolonged episodes of fever and vomiting. With percutaneous drainage and month-long antibiotic therapy, the PLA resolved. This case illustrates that a high index of suspicion is needed for diagnosis.
authors.affiliation: Department of Emergency Department, University Hospitals of Cleveland, Case School of Medicine, Cleveland, OH, USA.
authors.forename: Rafi
authors.initials: R
authors.lastname: Israeli
authors.forename: Jose Ernesto
authors.initials: JE
authors.lastname: Jule
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Hom
mesh_terms: D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D004322:Drainage; D006801:Humans; D046290:Liver Abscess, Pyogenic / Q000175:diagnosis* / Q000628:therapy; D008297:Male; D015641:Radiography, Interventional; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
chemical_list: D000900:Anti-Bacterial Agents