What Are Underlying Risk Factors for Liver Abscesses?

This study specific excluded patients with ALA or candidemia. LA treatment is usually antibiotics and less invasive surgical techniques such as aspiration or percutaneous catheter drainage, but other treatment including resection is sometimes needed Overall mortality from LA has decreased from 15-40% to as low as 0.8% in the pediatric populations as noted above. Learning Point LA can occur solely because of exposure to infectious organisms but is also commonly associated with hepatobiliary pathology as well. In Northern India study, the “[m]ajority of …children had no predisposing factors for development of LA as well in developed countries as evinced by the negative immunologic work up in 79 or 81 cases.” In the Belgium study, the most common underlying risk factor was hepatobiliary disease (e.g. biliary stenosis/atresia, cirrhoses, liver transplant), malignancy, intra-abdominal pathology (e.g. appendicitis, intestinal perforation) with only 2 cases due to parasitic infection. In the US study, the most common underlying PLA risk factor was liver transplant with biliary disease, malignancy and intrabdominal pathology and severe sepsis being other common factors in this population. Questions for Further Discussion 1. How is Alagille syndrome diagnosed and what is the natural history? 2. What are indications for liver transplantation? 3. What is the role of a primary care physician in patients with an organ transplantation? Related Cases Disease: Abscesses | L...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news