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Cerwenka, H; Bacher, H; Werkgartner, G; El-Shabrawi, A; Kornprat, P; Bernhardt, GA; Mischinger, HJ.
Treatment of patients with pyogenic liver abscess.
Chemotherapy. 2005; 51(6):366-369 Doi: 10.1159/000088964
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Führende Autor*innen der Med Uni Graz
Cerwenka Herwig
Co-Autor*innen der Med Uni Graz
Bacher Heinz
Bernhardt Gerwin
Kornprat Peter
Mischinger Hans-Jörg
Werkgartner Georg
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Abstract:
Pyogenic liver abscess (PLA) remains a serious disease with a mortality of 6-14%. Clinical data of 76 patients with PLA were analyzed. Treatment options comprised antibiotics, percutaneous puncture/drainage, endoscopic papillotomy/stenting and/or surgery as indicated. Fifty-eight patients (76%) had single and 18 patients multiple PLA (right lobe: 65%; both lobes: 22%). The most frequent etiologies were: biliary (38%), hematogenous and posttraumatic (11%). Factors associated with the need for surgery included gallbladder empyema, biliary fistulas, malignancy, perforation, multicentricity, vascular complications and foreign bodies (e.g. infected ventriculo-peritoneal shunt, toothpick). Microbiological testing provides important information for treatment monitoring and modification. Complementary assessment of risk factors for a complicated course is crucial for timely identification of patients requiring additional treatment. Copyright 2005 S. Karger AG, Basel.
Find related publications in this database (using NLM MeSH Indexing)
Anti-Bacterial Agents - therapeutic use
Biliary Fistula - complications Biliary Fistula - pathology
Cell Culture Techniques -
Drainage -
Female -
Humans -
Liver Abscess, Pyogenic - diagnosis Liver Abscess, Pyogenic - etiology Liver Abscess, Pyogenic - surgery Liver Abscess, Pyogenic - therapy
Male -
Microbial Sensitivity Tests -
Retrospective Studies -
Tomography, X-Ray Computed -

Find related publications in this database (Keywords)
pyogenic liver abscess
antibiotic therapy
chemotherapy
microbiological culture
antibiotic sensitivity testing
percutaneous drainage
surgical drainage
biliary fistula
posttraumatic liver abscess
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