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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.

KEYWORDS

Pyogenic Liver Abscess; Children; Diagnosis; Treatment; Mali

Cite this paper

Yacaria, C. , Issa, A. , Mamby, K. , Gaoussou, D. , Madiassa, K. and Gangaly, D. 2013 Pyogenic liver abscess in children: Diagnosis and treatment at the teaching hospital Gabriel Touré, Bamako, Mali. Open Journal of Pediatrics, 3, 45-48. doi: 10.4236-ojped.2013.32009.





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

Fuente: http://www.scirp.org/



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