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[Not Available].

A Giorgio1, G de Stefano, L Tarantino

  • 1V Divisione Ospedale D. Cotugno Specializzato per Malattie Infettive, Napoli, Italy.

Le Infezioni in Medicina
|January 1, 1995
PubMed
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Salmonella typhi liver abscesses were diagnosed using ultrasound-guided aspiration. Percutaneous drainage effectively treated these infections, with rapid fever resolution and no observed complications.

Area of Science:

  • Hepatology
  • Infectious Diseases
  • Medical Imaging

Context:

  • Liver abscesses are serious infections requiring prompt diagnosis and treatment.
  • Salmonella typhi is a common cause of enteric fever but liver abscesses are rare manifestations.
  • Ultrasound (US) is a valuable tool for diagnosing abdominal pathologies.

Purpose:

  • To report on the diagnosis and management of liver abscesses caused by Salmonella typhi.
  • To highlight the efficacy of ultrasound-guided percutaneous drainage in treating these abscesses.
  • To evaluate the clinical outcomes and potential complications associated with this treatment approach.

Summary:

  • Three cases of Salmonella typhi liver abscesses (two solitary, one with double localization) were diagnosed using US-guided aspiration and pus culture.

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  • Cultures of biologic fluids were negative in all cases; Widal tests were positive in only one patient post-discharge.
  • Percutaneous drainage under US guidance was successful, with only one case requiring a second aspiration. Fever resolved within 48-72 hours post-drainage without complications.

    • Impact:

    • Ultrasound-guided percutaneous drainage is an effective and safe treatment for Salmonella typhi liver abscesses.
    • This approach allows for rapid symptom resolution and avoids the need for more invasive surgical procedures.
    • Early diagnosis and intervention can prevent severe morbidity associated with liver abscesses.