Pyogenic liver abscess laboratory findings: Difference between revisions
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==Overview== | ==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]]. | 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]]. | ||
==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
Revision as of 20:33, 1 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.
Diagnostic Criteria
Diagnostic criteria for pyogenic liver abscess are:
- 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 |
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| ESR and CRP |
Elevated ESR and C reactive protein |
| Liver function tests |
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| Pus culture | Pus drained from abscess is used for culture and sensitivity |
| Blood culture |
Culture of blood for bacteria |
References
- ↑ 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.