Is there any difference in pyogenic liver abscess caused by Streptococcus milleri and Klebsiella spp?: retrospective analysis over a 10-year period in a regional hospital

Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi
Siu-Tong Law, Michael Kin Kong Li

Abstract

To compare the clinical characteristics of patients with Streptococcus milleri (SM) and Klebsiella spp. associated pyogenic liver abscess (PLA). A retrospective study of patients with PLA due to SM and Klebsiella spp. was conducted. Clinical characteristics, laboratory and radiological features, management and outcomes were analyzed. From 2000 to 2009 inclusive, 21 and 140 patients had SM and Klebsiella spp. associated monomicrobial infected PLA, respectively. A higher incidence of active malignancy occurred in the SM group (14.3% vs. 3.6%, p < 0.03). The common clinical features of the patients were fever, chill and right upper quadrant pain. A longer duration (6.3 vs. 4.4 day, p = 0.04) of symptoms and a higher incidence of hepatomegaly (14.3% vs. 2.9%, p < 0.01) occurred in the SM group. Common laboratory and imaging abnormalities included: anemia, leukocytosis, high erythrocyte sedimentation rate and C-reactive protein, hypoalbuminemia, elevated total bilirubin and alanine aminotransferase, right hepatic lobe involvement, hypoechoic in ultrasonograpghy, rim enhancement and septal lobulation in computed tomography. The biliary tract disorder was the most common cause of the disease in the two groups. Patients with Klebsiella...Continue Reading

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Citations

Jul 30, 2014·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·Yu-Wei Chiou, Yi-Tsung Lin
Sep 4, 2015·Journal of Community Hospital Internal Medicine Perspectives·Omar Metwally, Kevin Man
Jul 7, 2015·Journal of the American College of Radiology : JACR·Jonathan M LorenzEric J Hohenwalter
Feb 24, 2015·Ultrasound in Medicine & Biology·Georg KunzeMichael Köhler
Mar 13, 2018·Internal Medicine·Kazuhiko MoriiHiroaki Okushin
Jan 18, 2017·Clinical Case Reports·Nobuhiro AkuzawaMasahiko Kurabayashi
Dec 21, 2019·BMJ Case Reports·Royson DsouzaSukriya Nayak
May 31, 2019·Irish Journal of Medical Science·Jose Juan Ruiz-HernándezJoaquín Marchena-Gómez
May 7, 2020·Journal of the American College of Radiology : JACR·UNKNOWN Expert Panel on Interventional RadiologyJonathan M Lorenz

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