Abstract
Background: The world distribution of amoebic liver abscess should parallel that of amoebic infection. Unfortunately, its incidence of amoebic liver abscess varies throughout the world and large number of cases in developing countries. Pyogenic liver abscess constitute major bulk of hepatic abscess in western countries, they result from ascending biliary tract infection, hematogenous spread via portal venous system, generalized septicemia direct spread from intra-peritoneal infection. Pyogenic liver abscess constitute major bulk of hepatic abscess and they result from ascending biliary tract infection, hematogenous spread via portal venous system, generalized septicemia with involvement of liver by way of hepatic arterial circulation, direct spread from intra-peritoneal infection, other causes. Escherichia coli, klebsiella and streptococcus are most common organism followed by staphylococcus and pseudomonas. The mainstay of pharmacologic agent being metronidazole, which has been started since the time of diagnosis of liver abscess. Broad spectrum IV antibiotic was added in case of pyogenic liver abscess as an adjunct drug.
References
- Surgery of theliver and biliary tract. Blumgart L H; volll (3'd ed): 1 147-66.
- Aphorisms,45 Sect. 7,(IN) Adams –The Genuine Works of Hippocrates, Williams and Wilkins Co,1959.
- Napier, E L, The Principles and Practice of Tropical Medicine, 1946;355.
- Martinez Beez, M, Proc.Intert. Conf. on Amoebiasis, Oct.1975,53rd:277-278.
- Encyclopedia Americana (International Edition), 1970,Vol. 4.1284.
- Amoebic Liver Abscess, O.P. Kapoor S.S. Pub., Mumbai, 1979;16.
- Rogers, L, Brit. Med.J,1902,2, 844.
- H. Mohsen , S.T. Green, R.C. Read and M.W. Mckendrick, Liver abscess in adults: ten experience in UK centre, Q J Med 2002;95: 797-802.
- J E J Krige , I J Beckingham, ABC of disease of liver, pancreas, biliary system liver abscess and hyadatid disease , BMJ2001; 322:537-540 (3rd march)
- P Sharma ,Vineet Ahuja ,amoebic liver abscess , JIACM 2003;4(2):107-111
- Amha Kebede, Endalekassa, senaitas-henafi, Tilahunwoldemichael, Anton M. Polderman, BeyenePetros. Amoebic liver abscess: A 20 year retrospective analysis at TikurAnbessa Hospital, Ethiopia, Ethiop .J. Health Dev. 2004 ;18(3):199-202.
- Michael D’ Angelica ,Md and Yamun Fong, M D, amoebic and pyogenic liver abscess,The Liver ,chapter 52:1485-1494, sabiston Text Book of Surgery, 18th edition vol-2.
- Ruben Peralta, MD, FACS, Liver Abscess:2006, emedicine from web MD
- De Bakey, M E,andOchsner, A, surgGyn .obst.(I. A. S.), 1951,92, 209.
- O P Kapoor Amoebic Liver Abscess (p-205) S S Publisher, 1979.
Corresponding Author
Dr J. R. Pradhan
P.G. Student, Dept. of General Surgery,
VIMSAR, Burla, Odisha
Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Mob no. 94398233258