Pyogenic liver abscess laboratory findings: Difference between revisions
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Laboratory tests consistent with diagnosis of pyogenic liver abscess include [[CBC|complete blood picture]], [[ESR]], [[C-reactive protein]], [[liver function tests]], [[pus]] culture, and [[blood culture]].<ref name="pmid15578367">{{cite journal| author=Rahimian J, Wilson T, Oram V, Holzman RS| title=Pyogenic liver abscess: recent trends in etiology and mortality. | journal=Clin Infect Dis | year= 2004 | volume= 39 | issue= 11 | pages= 1654-9 | pmid=15578367 | doi=10.1086/425616 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15578367 }} </ref> | Laboratory tests consistent with diagnosis of pyogenic liver abscess include [[CBC|complete blood picture]], [[ESR]], [[C-reactive protein]], [[liver function tests]], [[pus]] culture, and [[blood culture]].<ref name="pmid15578367">{{cite journal| author=Rahimian J, Wilson T, Oram V, Holzman RS| title=Pyogenic liver abscess: recent trends in etiology and mortality. | journal=Clin Infect Dis | year= 2004 | volume= 39 | issue= 11 | pages= 1654-9 | pmid=15578367 | doi=10.1086/425616 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15578367 }} </ref> | ||
==Diagnostic Criteria==<ref name="pmid15578367">{{cite journal| author=Rahimian J, Wilson T, Oram V, Holzman RS| title=Pyogenic liver abscess: recent trends in etiology and mortality. | journal=Clin Infect Dis | year= 2004 | volume= 39 | issue= 11 | pages= 1654-9 | pmid=15578367 | doi=10.1086/425616 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15578367 }} </ref> | ==Diagnostic Criteria== | ||
Diagnostic criteria for pyogenic liver abscess are:<ref name="pmid15578367">{{cite journal| author=Rahimian J, Wilson T, Oram V, Holzman RS| title=Pyogenic liver abscess: recent trends in etiology and mortality. | journal=Clin Infect Dis | year= 2004 | volume= 39 | issue= 11 | pages= 1654-9 | pmid=15578367 | doi=10.1086/425616 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15578367 }} </ref> | |||
*[[aspirate|Liver aspirate]] or surgical [[tissue culture]] positive from a discrete [[liver abscess]] | *[[aspirate|Liver aspirate]] or surgical [[tissue culture]] positive from a discrete [[liver abscess]] | ||
*Diagnostic imaging consistent with [[liver abscess]] with a concurrent positive [[blood culture]] | *Diagnostic imaging consistent with [[liver abscess]] with a concurrent positive [[blood culture]] |
Revision as of 21:49, 7 March 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]
Overview
Laboratory tests consistent with diagnosis of pyogenic liver abscess include complete blood picture, ESR, C-reactive protein, liver function tests, pus culture, and blood culture.[1]
Diagnostic Criteria
Diagnostic criteria for pyogenic liver abscess are:[1]
- Liver aspirate or surgical tissue culture positive from a discrete liver abscess
- Diagnostic imaging consistent with liver abscess with a concurrent positive blood culture
- Diagnostic imaging consistent with liver abscess and a defined radiologic and clinical response to antimicrobial management even if cultures were negative or not performed.
Laboratory findings
Lab Test | Findings |
---|---|
Complete Blood Picture |
|
ESR and CRP |
Elevated ESR and C-reactive protein |
Liver function tests |
|
Pus culture | Pus drained from abscess is used for culture and sensitivity |
Blood culture |
References
- ↑ 1.0 1.1 1.2 Rahimian J, Wilson T, Oram V, Holzman RS (2004). "Pyogenic liver abscess: recent trends in etiology and mortality". Clin Infect Dis. 39 (11): 1654–9. doi:10.1086/425616. PMID 15578367.
- ↑ Huang CJ, Pitt HA, Lipsett PA, Osterman FA, Lillemoe KD, Cameron JL; et al. (1996). "Pyogenic hepatic abscess. Changing trends over 42 years". Ann Surg. 223 (5): 600–7, discussion 607-9. PMC 1235191. PMID 8651751.
- ↑ Rubin RH, Swartz MN, Malt R (1974). "Hepatic abscess: changes in clinical, bacteriologic and therapeutic aspects". Am J Med. 57 (4): 601–10. PMID 4372883.