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Heneghan, H.M., Healy, N.A., Martin, S.T., Ryan, R.S., Nolan, N., Traynor, O. and Waldron, R. (2011) Modern management of pyogenic hepatic abscess: A case series and review of the literature. BMC Research Notes, 4, 80. doi:10.1186/1756-0500-4-80

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• TITLE: Pyogenic liver abscess in children: Diagnosis and treatment at the teaching hospital Gabriel Touré, Bamako, Mali

  AUTHORS: Coulibaly Yacaria, Amadou Issa, Keita Mamby, Diaby Souleymane Gaoussou, Konaté Madiassa, Diallo Gangaly

  KEYWORDS: Pyogenic Liver Abscess; Children; Diagnosis; Treatment; Mali

  JOURNAL NAME: Open Journal of Pediatrics, Vol.3 No.2, June 3, 2013

  ABSTRACT: Purpose: To determine diagnostic and therapeutic problems of pyogenic liver abscess in our hospital. Method and material: We conducted a retrospective study from January 2006 to December 2010 of all children aged from 0 - 15 years admitted and treated for pyogenic liver abscesses. Amoebic liver abscesses and other hepatobiliary disorders were not considered. Results: Pyogenic abscesses accounted for 50 cases. The mean age of patients at presentation was 2.4 ± 0.78 years (range from 6 months to 15 years). Sex ratio was 2.8 for boys. Abdominal pain was the primary reason for consultation in 27 cases (54%). Fever has been noted in 42 patients (84%) and the patient general state was altered in 13 patients (26%). Escherishia coli was the most frequent bacteria found at pus. The pus was sterile in 25 cases (50%). The ultrasonographic percutaneous drainage was performed in 33 patients (66%), open surgery in 6 (12%) and antibiotics alone in 11 others (22%). The short outcomes were simple in 36 patients (72%) while pain and fever persisted in 12 others (24%). Two patients (4%) died from sepsis soon after the operating room. Improving the frequency of early diagnosis will depend on education of clinicians about the need for clinical suspicion aided by ultrasound.