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Published on: December 4, 2023
Liver abscess in children: a 10-year single centre experience
Roohollah Salahi1, Seyed M Dehghani, Heshmatollah Salahi
1Trauma Research Center, Shiraz, Iran.
Summary
Pediatric liver abscess characteristics in our region are similar to developed countries, but often affect healthy young males. Treatment involves antibiotics, aspiration, or drainage, with a 5.5% mortality rate.
Area of Science:
- Pediatric Hepatology
- Infectious Diseases
- Gastroenterology
Background:
- Liver abscess is more common in developing nations, with limited regional data.
- Understanding pediatric liver abscess characteristics is crucial for effective management.
Purpose of the Study:
- To analyze pediatric liver abscess features in the region.
- To compare these findings with data from developed countries.
Main Methods:
- Retrospective analysis of clinical, laboratory, imaging, and microbiological data.
- Review of management strategies and patient outcomes.
Main Results:
- 18 cases: 16 pyogenic, 1 amebic, 1 Candida liver abscess.
- Common symptoms: fever, abdominal pain; common lab finding: leukocytosis.
- Predisposing factors: immune deficiency, thalassemia; appendicitis origin in 2 cases.
- Treatments: antibiotics, percutaneous aspiration (12 cases), open drainage (5 cases).
- Two aspirations failed, requiring open drainage; overall mortality 5.5%.
Conclusions:
- Pediatric liver abscess characteristics in this region resemble those in developed countries.
- Unlike developed countries, most cases occurred in healthy children.
- Observed in younger males more frequently, with similar mortality rates.
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