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Solitary liver abscess in a healthy child presenting with fever of unknown origin

W Sakran1, B Kawar, L Chervinsky

  • 1Pediatric Department B, Ha'Emek Medical Center, Afula 18101, Israel. sakran_w@clalit.org.il

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|July 7, 2005
PubMed

Insights

Pyogenic liver abscess is uncommon in healthy children. This case highlights successful surgical and antibiotic treatment for a solitary abscess in an 8-month-old infant.

Area of Science:

  • Pediatric Infectious Diseases
  • Hepatology
  • Surgical Gastroenterology

Background:

  • Pyogenic liver abscess (PLA) is a rare intra-abdominal infection, particularly in immunocompetent children.
  • Prompt diagnosis and management are crucial for favorable outcomes.

Observation:

  • A previously healthy 8-month-old infant presented with prolonged fever of unknown origin and mild hepatomegaly.
  • Imaging revealed a solitary pyogenic liver abscess.

Findings:

  • The child underwent successful surgical intervention for the liver abscess.
  • Prolonged antibiotic therapy was administered post-operatively.
  • Complete recovery was achieved without complications.

Implications:

  • This case underscores the importance of considering PLA in febrile infants, even without typical risk factors.
  • It reinforces the efficacy of combined surgical and antibiotic management for pediatric pyogenic liver abscess.
  • Guidelines for managing pediatric liver abscesses should emphasize early detection and tailored treatment strategies.

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