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ISSN 2063-5346
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Prospective study of clinical profile and various modalities of treatment in management of liver abscess

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Dr. Minal Pohuja, Dr. Nitin Nangare, Dr. Shreya Revankar
» doi: 10.31838/ecb/2023.12.si4.007

Abstract

To determine the clinical profile and treatment of liver abscess. Material and methods: Patients who were admitted to the surgical ward were given a comprehensive examination, and a detailed clinical history was recorded for each patient. USG was performed on the same day as all of the other usual and pertinent investigations, such as a CBC, sugar level, urea level, creatinine level, LFT level, PT level, HIV level, and chest PA view X-ray. Results: The most prevalent symptoms were pain in the abdomen (97% of cases) and fever (93% of cases). The most prevalent symptom, known as RHQ, was abdominal soreness, which was present in 98% of patients. There were also additional clinical symptoms, such as hepatomegaly (49%), jaundice (22%), and right intercostal pain (60%). In 83% of individuals diagnosed with liver abscess, alcohol use was the single most consistent etiological component. The results of the laboratory studies were examined. 71% of patients were found to have leucocytosis (>11000 white blood cells). In instances with liver abscesses, an elevated alkaline phosphatase level was found to be abnormal 82% of the time. This was the single most consistent abnormality seen in liver function tests. Sixty-one and a half percent of these seventy instances had an appearance of "anchovy sauce" on the pus, which indicated that there was no growth. while growths were seen in 38.57 percent of these patients. There were 8.57% of instances where Enterococcus was isolated, 11.43% of cases where E. coli was isolated, and 17.14% of cases where K. pneumoniae was isolated. Just 1.43 percent of cases had S. aureus isolated from them.

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