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  • Title: [Pyogenic hepatic abscess: report of 51 cases].
    Author: Herman P, Pugliese V, Salem MZ, Machado MA, Bacchella T, da Cunha JE, Machado MC, Pinotti HW.
    Journal: Rev Hosp Clin Fac Med Sao Paulo; 1994; 49(6):234-7. PubMed ID: 7610334.
    Abstract:
    Pyogenic hepatic abscesses are uncommon. We report our findings in 51 patients with pyogenic liver abscess treated from 1975 through 1992. Twenty-eight patients were men and twenty-three were women. The median age of patients was 46 years (range, 13 to 77 years). Fever was present in 100% of patients, abdominal pain in 58.8% and jaundice in 39.2%. Twenty eight patients (54.9%) had leukocytosis; 45% hyperbilirrubinemia and 35.3% a high serum level of alkaline phosphatase. The most common cause of abscesses was biliary tract disease (66%). Thirty-three (64.7%) were surgically treated and thirteen underwent percutaneous drainage with 90.4% and 69.2% of good results, respectively. Mortality was 9.6% in the surgical group and 0% in the percutaneously drained group. A review of literature of this condition and a discussion about the diagnosis, treatment and etiopathogenesis are presented.
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