Podcast 638: Pyogenic Liver Abscess
Show: Emergency Medical Minute
Contributor: Aaron Lessen, MD
Educational Pearls:
- Pyogenic liver abscesses can be caused by
- Intra-abdominal infection progressing to peritonitis which then drains into liver
- Bacteremia leading to hematogenous spead and seeding
- Local biliary infection with contiguous spread
- Patients typically present with signs of sepsis or septic shock and the abscess can be diagnosed using ultrasound or CT
- Treat with IV fluids, broad spectrum antibiotics, and consultation for drainage
References
Kurland JE, Brann OS. Pyogenic and amebic liver abscesses. Curr Gastroenterol Rep. 2004 Aug;6(4):273-9. doi: 10.1007/s11894-004-0078-2. PMID: 15245694.
Rahimian J, Wilson T, Oram V, Holzman RS. Pyogenic liver abscess: recent trends in etiology and mortality. Clin Infect Dis. 2004 Dec 1;39(11):1654-9. doi: 10.1086/425616. Epub 2004 Nov 9. PMID: 15578367.
Summarized by John Spartz, MS3 | Edited by Erik Verzemnieks, MD
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