Liver abscess in the tropics: experience in the University Hospital, Kuala Lumpur.

Goh, K.L.; Wong, N.W.; Paramsothy, M.; Nojeg, M.; Somasundaram, K. (1987) Liver abscess in the tropics: experience in the University Hospital, Kuala Lumpur. Postgraduate medical journal, 63 (741). pp. 551-4. ISSN 0032-5473

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Abstract

We reviewed 204 cases of liver abscess seen between 1970 and 1985. Ninety were found to be amoebic, 24 pyogenic and one tuberculous. The cause of the abscesses in the remaining 89 patients was not established. The patients were predominantly male, Indians, and in the 30-60 age group. The majority of patients presented with fever and right hypochondrial pain. The most common laboratory findings were leucocytosis, hypoalbuminaemia and an elevated serum alkaline phosphatase. Amoebic abscesses were mainly solitary while pyogenic abscesses were mainly multiple. Complications were few in our patients and included rupture into the pleural and peritoneal cavities and septicaemic shock. An overall mortality of 2.9% was recorded. The difficulty in diagnosing the abscess type is highlighted. The single most important test in helping us diagnose amoebic abscess, presumably the most common type of abscess in the tropics, is the Entamoeba histolytica antibody assay. This test should be used more frequently in the tropics.

Item Type: Article
Journal or Publication Title: Postgraduate medical journal
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Medicine
Depositing User: Mr. Faizal Hamzah
Date Deposited: 01 Mar 2011 09:42
Last Modified: 21 Oct 2014 10:40
URI: http://eprints.um.edu.my/id/eprint/232

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