Clinical study of microbiological organisms causing liver abscess

Authors

  • Lisha Suraj Department of Surgery, Mahatma Gandhi Mission Institute of Health Sciences, Navi Mumbai, Maharashtra, India
  • Pallavi S. Kadam Department of Surgery, Mahatma Gandhi Mission Institute of Health Sciences, Navi Mumbai, Maharashtra, India http://orcid.org/0000-0001-9599-1262

DOI:

https://doi.org/10.18203/2349-2902.isj20213995

Keywords:

Liver abscess, Microbiology, Pyogenic, Amoebic

Abstract

Background: Liver abscess is a disease reported commonly in developing countries like India. It can be amoebic or pyogenic liver abscesses, the diagnosis of which is challenging to treating physicians. This clinical study was con-ducted to identify the common microbiological organisms causing liver abscess so that proper treatment can be administered.

Methods: A prospective study was conducted in MGM Medical College and Hospital, Navi Mumbai for a period of 2 years in 50 patients diagnosed with liver abscess. Pus culture and blood culture were carried out in all patients and data recorded and analyzed for microbiological profile.

Results: The pus and blood cultures were showing growth in 90% of the liver abscess patients. Klebseilla was the most common organism identified in liver abscess followed by Staphylococcus aureus.

Conclusions: Most of the patients had polymicrobial organisms identified in the aspirate of which 29% were Klebseilla pneumoniae, the commonest organism.

Author Biography

Lisha Suraj, Department of Surgery, Mahatma Gandhi Mission Institute of Health Sciences, Navi Mumbai, Maharashtra, India

Department of surgery, MGM Navi Mumbai

References

Sharma MP, Ahuja V. Management of amoebic and pyogenic liver abscess. Indian J Gastroenterol. 2001;20:C33-6.

Seeto RK, Rockey DC. Pyogenic liver abscess. Changes in etiology, management, and outcome. Medicine (Baltimore). 1996;75:99-113.

Malik AA, Bari SU, Rouf KA, Wani KA. Pyogenic liver abscess: Changing patterns in approach World J Gastrointest Surg. 2010;2:395-401.

Channanna C, Rehman FU, Choudhuri B, Patil A. A clinical study, diagnosis and Management of Liver Abscess at VIMS, Bellary. J Evi Based Med Health Care. 2014;1:668-85.

Siu LK, Yeh KM, Lin JC, Fung CP, Chang FY. Klebsiella Pneumoniae liver abscess: a new invasive syndrome. Lancet Infect Dis. 2012;12:881-7.

Fazili T, Sharngoe C, Endy T, Kiska D, Javaid W, Polhemus M. Klebsiella Pneumoniae liver abscess: an emerging disease. Am J Med Sci. 2016;351:297-304.

Zerem E, Hadzic A. Sonographically guided percutaneous catheter drainage versus needle aspiration in the management of pyogenic liver abscess. AJR. 2007;189:W138-42.

Tsai FC, Huang YT, Chang LY, Wang JT. Pyogenic liver abscess as endemic disease, Taiwan. Emerg Infect Dis. 2008;14:1592-600.

Wang JH, Liu YC, Lee SS, Yen MY, Chen YS, Wang JH, et al. Primary liver abscess due to Klebsiella pneumoniae in Taiwan. Clin Infect Dis. 1998;26:1434-8.

Kaplan GG, Gregson DB, Laupland KB. Population-based study of the epidemiology of and the risk factors for pyogenic liver abscess. Clin Gastroenterol Hepatol 2004;2:1032–8.

Chen WH, Chiu CH, Huang CH, Lin CH, Sun JH, Huang YY, et al. Pyogenic liver abscess caused by Pseudomonas aeruginosa: clinical analysis of 20 cases. Scand J Infect Dis. 2011;43(11-12):877-82.

Downloads

Published

2021-09-28

Issue

Section

Original Research Articles