Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
|
pubmed:dateCreated |
1998-4-23
|
pubmed:abstractText |
A 10-year retrospective survey was undertaken of patients with pyogenic hepatic abscesses (PHA). Fifty-two patients fulfilled the criteria of PHA, equivalent to a mean annual incidence of 11/1,000,000. The main symptom was fever. Laboratory tests were compatible with infection, slightly elevated alkaline phosphatase being the only test pointing towards the liver as the focus of infection. Forty-one patients (79%, 95% CL, 68-90%) had positive cultures from aspirated pus, with a total of 79 isolates. Enteric Gram-negative rods accounted for 45% and anaerobic bacteria for 31% of PHA isolates. Gram-positive cocci, predominantly non-haemolytic streptococci, were the third largest group (19%), but were rare among blood isolates. Positive blood cultures were found in 21 patients (40%, 95% CL, 27-54%), with a total of 28 isolates. Percutaneous drainage was performed in 26, percutaneous needle aspiration in 10, combinations thereof in 5, and abdominal surgery in 5. Forty-nine patients received systemic antibiotic therapy, four of whom were treated with antibiotics only. Seven recurrences occurred and the overall case fatality rate was 6% (95%, CL 0-12%), which might reflect a low rate of underlying malignant diseases in our study material.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
|
pubmed:month |
Mar
|
pubmed:issn |
0903-4641
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
106
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
396-402
|
pubmed:dateRevised |
2004-11-17
|
pubmed:meshHeading |
pubmed-meshheading:9548429-Adolescent,
pubmed-meshheading:9548429-Adult,
pubmed-meshheading:9548429-Aged,
pubmed-meshheading:9548429-Aged, 80 and over,
pubmed-meshheading:9548429-Bacteria,
pubmed-meshheading:9548429-Child,
pubmed-meshheading:9548429-Female,
pubmed-meshheading:9548429-Follow-Up Studies,
pubmed-meshheading:9548429-Humans,
pubmed-meshheading:9548429-Liver Abscess,
pubmed-meshheading:9548429-Male,
pubmed-meshheading:9548429-Middle Aged,
pubmed-meshheading:9548429-Retrospective Studies
|
pubmed:year |
1998
|
pubmed:articleTitle |
Pyogenic hepatic abscess. A 10-year population-based retrospective study.
|
pubmed:affiliation |
Department of Clinical Microbiology, Aalborg Hospital, Denmark.
|
pubmed:publicationType |
Journal Article
|