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Clinical characteristics and management of 106 patients with pyogenic liver abscess in a traditional Chinese hospital

This is a retrospective study of clinical data from 106 patients with pyogenic liver abscess (PLA) treated in a traditional Chinese hospital during the eight years preceding this publication. We aimed to provide evidence to improve the diagnosis accuracy and the treatment strategies for PLAs. We col...

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Autores principales: Nie, ShiJiao, Lin, Da, Li, XiaoWen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9852512/
https://www.ncbi.nlm.nih.gov/pubmed/36684358
http://dx.doi.org/10.3389/fsurg.2022.1041746
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author Nie, ShiJiao
Lin, Da
Li, XiaoWen
author_facet Nie, ShiJiao
Lin, Da
Li, XiaoWen
author_sort Nie, ShiJiao
collection PubMed
description This is a retrospective study of clinical data from 106 patients with pyogenic liver abscess (PLA) treated in a traditional Chinese hospital during the eight years preceding this publication. We aimed to provide evidence to improve the diagnosis accuracy and the treatment strategies for PLAs. We collected records of patients treated at the Guangxing Hospital, which is affiliated to the Zhejiang Traditional Chinese University in Hangzhou, and we collected their general background information, laboratory and imaging features, and clinical manifestations and outcomes to perform a retrospective analysis. Diabetes mellitus (45.3%, 48/106), biliary calculi (36.8%, 39/106), and history of abdominal surgery (15.1%, 16/106) were the three most common PLA risk factors present in our cohort. Fever and chills (95.3%, 101/106), right upper quadrant pain/epigastric discomfort (68.9%, 73/106), nausea and vomiting (38.8%, 41/106), and cough and sputum (14.2%, 15/106) were the most common clinical manifestations of PLA. Most patients had the abscesses in the right liver lobe, and the most commonly found bacteria were Klebsiella pneumoniae (54.8%, 42/76), Escherichia coli (35.1%, 27/76), and Streptococcus pneumoniae (3.9%, 3/76). Liver Doppler ultrasound is a conventional and effective method to identify liver abscesses. Most patients were treated using a percutaneous puncture under B-ultrasound guidance. Most patients (n = 104 or 98.1%) were cured, one patient (0.9%) died, and one was discharged with multiple abscesses post treatment.
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spelling pubmed-98525122023-01-21 Clinical characteristics and management of 106 patients with pyogenic liver abscess in a traditional Chinese hospital Nie, ShiJiao Lin, Da Li, XiaoWen Front Surg Surgery This is a retrospective study of clinical data from 106 patients with pyogenic liver abscess (PLA) treated in a traditional Chinese hospital during the eight years preceding this publication. We aimed to provide evidence to improve the diagnosis accuracy and the treatment strategies for PLAs. We collected records of patients treated at the Guangxing Hospital, which is affiliated to the Zhejiang Traditional Chinese University in Hangzhou, and we collected their general background information, laboratory and imaging features, and clinical manifestations and outcomes to perform a retrospective analysis. Diabetes mellitus (45.3%, 48/106), biliary calculi (36.8%, 39/106), and history of abdominal surgery (15.1%, 16/106) were the three most common PLA risk factors present in our cohort. Fever and chills (95.3%, 101/106), right upper quadrant pain/epigastric discomfort (68.9%, 73/106), nausea and vomiting (38.8%, 41/106), and cough and sputum (14.2%, 15/106) were the most common clinical manifestations of PLA. Most patients had the abscesses in the right liver lobe, and the most commonly found bacteria were Klebsiella pneumoniae (54.8%, 42/76), Escherichia coli (35.1%, 27/76), and Streptococcus pneumoniae (3.9%, 3/76). Liver Doppler ultrasound is a conventional and effective method to identify liver abscesses. Most patients were treated using a percutaneous puncture under B-ultrasound guidance. Most patients (n = 104 or 98.1%) were cured, one patient (0.9%) died, and one was discharged with multiple abscesses post treatment. Frontiers Media S.A. 2023-01-06 /pmc/articles/PMC9852512/ /pubmed/36684358 http://dx.doi.org/10.3389/fsurg.2022.1041746 Text en © 2023 Nie, Lin and Li. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Nie, ShiJiao
Lin, Da
Li, XiaoWen
Clinical characteristics and management of 106 patients with pyogenic liver abscess in a traditional Chinese hospital
title Clinical characteristics and management of 106 patients with pyogenic liver abscess in a traditional Chinese hospital
title_full Clinical characteristics and management of 106 patients with pyogenic liver abscess in a traditional Chinese hospital
title_fullStr Clinical characteristics and management of 106 patients with pyogenic liver abscess in a traditional Chinese hospital
title_full_unstemmed Clinical characteristics and management of 106 patients with pyogenic liver abscess in a traditional Chinese hospital
title_short Clinical characteristics and management of 106 patients with pyogenic liver abscess in a traditional Chinese hospital
title_sort clinical characteristics and management of 106 patients with pyogenic liver abscess in a traditional chinese hospital
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9852512/
https://www.ncbi.nlm.nih.gov/pubmed/36684358
http://dx.doi.org/10.3389/fsurg.2022.1041746
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