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Imaging of hepatic infections

Nancy J Benedetti1, Terry S Desser, R Brooke Jeffrey

  • 1Department of Radiology, Stanford University School of Medicine, Stanford, CA 94305-5621, USA.

Ultrasound Quarterly
|December 9, 2008
PubMed

Insights

This review covers hepatic infections like abscesses and parasitic diseases, detailing their causes and common locations. Imaging, especially ultrasound, is vital for diagnosing and monitoring these liver conditions.

Area of Science:

  • Hepatology
  • Infectious Diseases
  • Radiology

Background:

  • Hepatic infections encompass pyogenic and amebic abscesses, fungal, and parasitic diseases.
  • Infectious agents reach the liver via hematogenous spread, biliary tract ascension, or trauma.
  • Pyogenic liver abscess is more prevalent in developed nations, while amebic abscesses are globally common.

Purpose of the Study:

  • To review the characteristic ultrasound and computed tomographic findings of various hepatic infections.
  • To correlate imaging findings with clinical features of hepatic pyogenic abscess, amebic abscess, fungal, and parasitic infections.

Main Methods:

  • Review of ultrasound and computed tomographic (CT) imaging findings.
  • Analysis of clinical features associated with different hepatic infections.
  • Synthesis of information on etiologies and routes of infection for hepatic pathogens.

Main Results:

  • Fungal infections typically affect immunosuppressed patients.
  • Parasitic infections are common in individuals with recent travel to endemic regions.
  • Ultrasound and CT imaging are crucial for diagnosis and monitoring treatment response.

Conclusions:

  • Understanding the distinct imaging and clinical features aids in differentiating various hepatic infections.
  • Radiological modalities are essential tools for patient management and assessing treatment efficacy.
  • Prompt diagnosis and appropriate imaging are key to successful outcomes in hepatic infections.

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