Fantuzzi S Andrés, Albertz A Nicolás, Valenzuela V Antonia, Estuardo A Nivia, Castro L Ariel
Sección Medicina Interna, Hospital Clínico Universidad de Chile, Santiago, Chile.
Rev Chilena Infectol. 2009 Feb;26(1):49-53. Epub 2009 Mar 23.
Liver abscess is a rare disease with high morbidity and mortality.
Description of liver abscess cases attended in the Universidad de Chile Clinical Hospital between 2000 and 2007 and review of the literature on the topic.
For 107 cases reviewed, mean age was 59 years. Most common symptoms were fever and abdominal pain with an average duration of 19 days. COMORBIDITY: twenty five percent of patients had Diabetes Mellitus type 2, seven percent were immunosuppressed patients and 24% had undergone invasive procedures. Not achieved identify the origin in most cases. The most requested image test was abdominal CT. In 49/75 (65.3%) the abscess culture allowed to establish the etiology. Bacteremia was present in 17/68 (25%) of cases. Most cases were treated with two or more antibiotics and percutaneous drainage.
Clinical manifestations and resolution of liver abscess in this series are consistent with those described in the literature.
肝脓肿是一种发病率和死亡率都很高的罕见疾病。
描述2000年至2007年期间在智利大学临床医院就诊的肝脓肿病例,并对该主题的文献进行综述。
在回顾的107例病例中,平均年龄为59岁。最常见的症状是发热和腹痛,平均持续时间为19天。合并症:25%的患者患有2型糖尿病,7%为免疫抑制患者,24%曾接受侵入性操作。大多数病例未能确定病因。最常要求的影像检查是腹部CT。在49/75(65.3%)的病例中,脓肿培养能够确定病因。17/68(25%)的病例存在菌血症。大多数病例采用两种或更多种抗生素及经皮引流治疗。
本系列中肝脓肿的临床表现和转归与文献中描述的一致。