Liver abscess

Risk factor- DM, hepatobiliary disease, pancreatic disease, liver transplant, PPI, CGD

Pathogenesis- Gallstone/malignant obstruction, penetrating wound, blood

Pathogen- K.p, E.coli, Streptococcus milleri, Staphylococcus aureus, Streptococcus pyogenes


Pyogenic (80%)Bile ductMultiple, DM, jaundice1.Ceftriaxone + metronidazole2.Piperacillin + tazobactam3.Ampicillin + gentamicin + metronidazole
Amebic (20%)ColonFocal, IHA>1:32Metronidazole

Manifestation- Fever, abdominal pain, nausea, vomiting

Lab- Leukocytosis, anemia, hypoalbuminemia

CT- Peripherally enhancing, centrally hypo-attenuating lesions

Published by Steve Johnson

I am a doctor who like to organise knowledges and share ideas with others. As a doctor, a lot of knowledges influx everyday and need some patient to organise and absorb. Here was my notes to share with you and hope to save your time to know it.

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