Yeungnam Univ J Med.  2008 Jun;25(1):72-77.

A Case of Liver Abscess in A Child

• Oh ST
• Choi KH

Abstract

Liver abscess in children is rare in developed countries; the incidence is 25 per 100,000 admissions in USA. Common complications are pleural effusion, empyema, pneumonitis, hepatopleural or hepatobronchial fistula, intraperitoneal or intrapericardiac rupture, septic shock, cerebral amebiasis, etc. These complications may lead to death if the management is delayed. However, recent management results in a mortality of less than 15%. We report a case of liver abscess in a child. He manifested with fever and abdominal pain in the right upper quadrant. On computerized tomography scans, multiple cystic lesions were seen in both lobes of the liver and were 5 to 55 mm in size. In laboratory findings, neutrophilic leukocytosis, peripheral eosinophila, elevated values of ESR, C-reactive protein, and elevated serum AST, ALT, ALP and GGT were detected. Furthermore, we determined the organisms in the blood culture and serum. Blood culture was positive for Streptococcus spp., and amebic indirect hemagglutination antibody titer was increased to 1:512.

Keyword

Liver abscess; Amebic indirect hemagglutination antibody titer

MeSH Terms

Abdominal Pain
Abscess
Amebiasis
C-Reactive Protein
Child
Empyema
Fever
Fistula
Hemagglutination
Humans
Incidence
Leukocytosis
Liver
Liver Abscess
Neutrophils
Pleural Effusion
Pneumonia
Rupture
Shock, Septic
Streptococcus
C-Reactive Protein