Department of Medicine, Royal Hospital, Muscat, Oman.
Department of Medicine, Ibri Hospital, Ibri, Oman.
Sultan Qaboos Univ Med J. 2022 May;22(2):257-261. doi: 10.18295/squmj.5.2021.105. Epub 2022 May 26.
This study aimed to analyse the epidemiological, aetiological and clinical characteristics of pyogenic liver abscess (PLA) occurring in Oman. The intention was to obtain the information needed for the adequate liver abscess (LA) empirical treatment. LA can develop as a complication of hepatobiliary disease or other intraabdominal infections, but more recently, it is associated with primary and secondary liver malignancies and their treatment.
This retrospective study took place in the Royal Hospital, Muscat, Oman. Consecutive patients treated for LA from January 2013 to December 2017 were enrolled. Their demographic and clinical data were used to study the characteristics of PLA occurring in Oman.
A total of 53 patients with PLA were enrolled in the study. They were predominantly male and younger than 60 years. was found to be the most common bacteria causing LA. Clinical presentation was non-specific, and abdominal pain and high fever were the most common symptoms.
The majority of PLAs are caused by , so the empirical treatment should begin with antibiotic directed against it. Further studies are needed to establish the local role of anaerobic bacteria in PLA and monitor the presence of hypervirulent in Oman.
本研究旨在分析在阿曼发生的化脓性肝脓肿（PLA）的流行病学、病因学和临床特征。目的是获得适当的肝脓肿（LA）经验性治疗所需的信息。LA 可作为肝胆疾病或其他腹腔内感染的并发症发生，但最近与原发性和继发性肝恶性肿瘤及其治疗有关。
这项回顾性研究在阿曼的皇家医院进行。纳入了 2013 年 1 月至 2017 年 12 月期间因 LA 接受治疗的连续患者。使用他们的人口统计学和临床数据来研究在阿曼发生的 PLA 的特征。
共有 53 名 PLA 患者入组本研究。他们主要是男性且年龄小于 60 岁。被发现是导致 LA 的最常见细菌。临床表现不具特异性，腹痛和高热是最常见的症状。
大多数 PLA 由引起，因此经验性治疗应从针对它的抗生素开始。需要进一步的研究来确定厌氧菌在 PLA 中的本地作用，并监测高毒力在阿曼的存在。
