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词条 Liver abscess
释义

  1. Causes

  2. Diagnosis

      Types  

  3. Management

  4. References

  5. External links

{{Infobox medical condition (new)
| name = Liver abscess
| image = Leberabszess - CT axial PV.jpg
| caption = Liver abscess on axial CT image: a hypodense lesion in the liver with peripherally enhancement.
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A liver abscess is a pus-filled mass inside the liver.[1] Common causes are abdominal conditions such as appendicitis or diverticulitis due to haematogenous spread through the portal vein.[2]

Causes

Major bacterial causes of liver abscess include the following:[3]

  • Streptococcus species (including Enterococcus)
  • Escherichia species
  • Staphylococcus species
  • Klebsiella species (Higher rates in the Far East)
  • Anaerobes (including Bacteroides species)
  • Pseudomonas species
  • Proteus species
  • Entamoeba Histolytica

However, as noted above, many cases are polymicrobial.

Diagnosis

Types

There are three major forms of liver abscess, classified by cause:

  • Pyogenic liver abscess, which is most often polymicrobial, accounts for 80% of hepatic abscess cases in the United States.
  • Amoebic liver abscess due to Entamoeba histolytica accounts for 10% of cases. The incidence is much higher in developing countries.
  • Fungal abscess, most often due to Candida species, accounts for less than 10% of cases.

Management

Antibiotics: IV metronidazole and third generation cephalosporin/quinolones, β-lactam antibiotics, and aminoglycosides are effective.

References

1. ^{{cite web |url=http://medconditions.net/liver-abscess.html |title=Liver Abscess Definition in Medical Conditions Dictionary |date=11 April 2018 |website=medconditions.net |accessdate=11 April 2018 }}
2. ^{{MedlinePlusEncyclopedia|000261|Pyogenic liver abscess}}
3. ^{{cite journal |doi=10.1136/flgastro-2013-100371 |pmid=28839753 |pmc=5369710 |title=Pyogenic liver abscess |journal=Frontline Gastroenterology |volume=5 |issue=1 |pages=60–67 |year=2014 |last1=Webb |first1=Gwilym James |last2=Chapman |first2=Thomas Patrick |last3=Cadman |first3=Philip John |last4=Gorard |first4=David Angelo }}

External links

{{Medical resources
| DiseasesDB = 22094
| ICD10 = {{ICD10|K|75|0|k|70}}
| ICD9 = {{ICD9|572.0}}
| ICDO =
| OMIM =
| MedlinePlus = 000261
| eMedicineSubj = med
| eMedicineTopic = 1316
| MeshID = D008100
}}
  • Liver Abscess CT Images CTCases Liver Abscess CT Scan.
{{Gastroenterology}}

1 : Diseases of liver

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