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 Type Pyogenic (80%) Bile duct Multiple, DM, jaundice 1.Ceftriaxone + metronidazole2.Piperacillin + tazobactam3.Ampicillin + gentamicin + metronidazole Amebic (20%) Colon Focal, IHA>1:32 Metronidazole Manifestation- Fever, abdominal pain, nausea, vomiting […]