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Abdominal SepsisPyogenic Liver Abscess

Abdominal Sepsis: Pyogenic Liver Abscess [A hepatic abscess is a suppurated cavity caused by the invasion and multiplication of microorganisms within the liver parenchyma [1]. It can be bacterial (pyogenic), parasitic (amebic), mixed (pyogenic superinfection of parasitic abscess), or rarely fungal. Adult pyogenic liver abscess (PLA) is a major hepatobiliary infection with mortality of up to 46% [2–4]. The recent improvement in mortality can be attributed to improved understanding of sepsis with advances in interventional radiology and critical care. The cornerstone of PLA treatment remains antibiotic therapy with percutaneous drainage/aspiration. The first significant study on PLAs was performed by Ochsner in 1938, and he reported association with young men, portal pyemia, and 77% mortality [5].] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

Abdominal SepsisPyogenic Liver Abscess

Part of the Hot Topics in Acute Care Surgery and Trauma Book Series
Editors: Sartelli, Massimo; Bassetti, Matteo; Martin-Loeches, Ignacio
Danson, Yeo; Yuan, Tan Ming; Shelat, Vishal G.
Abdominal Sepsis — Jun 23, 2017
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10 pages

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Publisher
Springer International Publishing
Copyright
© Springer International Publishing AG, part of Springer Nature 2018
ISBN
978-3-319-59703-4
Pages
83 –93
DOI
10.1007/978-3-319-59704-1_8
Publisher site
See Chapter on Publisher Site

Abstract

[A hepatic abscess is a suppurated cavity caused by the invasion and multiplication of microorganisms within the liver parenchyma [1]. It can be bacterial (pyogenic), parasitic (amebic), mixed (pyogenic superinfection of parasitic abscess), or rarely fungal. Adult pyogenic liver abscess (PLA) is a major hepatobiliary infection with mortality of up to 46% [2–4]. The recent improvement in mortality can be attributed to improved understanding of sepsis with advances in interventional radiology and critical care. The cornerstone of PLA treatment remains antibiotic therapy with percutaneous drainage/aspiration. The first significant study on PLAs was performed by Ochsner in 1938, and he reported association with young men, portal pyemia, and 77% mortality [5].]

Published: Jun 23, 2017

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