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Pathology
Commonest sites are bowel and biliary systems
Common bacteria are Staphylococcus Aureus, Streptococcus Pyogenes, Streptococcus Milleri (associated with bowel carcinoma) and Escherichia coli
Aetiology
Usually a result of haematological spread of a bacterial infection
Signs
Right upper quadrant tenderness, hepatomegaly, jaundice, fever, signs of sepsis .
Symptoms
Fever, right upper quadrant pain, rigors,
Investigations
Bloods: ↑WCC,↑CRP LFT: ↑ALT, ↑ALP, bilirubin can be ↑, Blood cultures
Microbiology: Aspiration of abscess
Imaging: Ultrasound or CT Abdomen to locate underlying cause
Treatment
Medical: Antibiotics
Surgical: Drainage of abscess
Prognosis
Poor prognosis due to potential complications of liver sepsis
Liver Sepsis, empyema, peritonitis
Key Facts
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Key Images
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Key References
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