hepatic abscess spleenomegaly

15 years male patient Treatment..?? Chief Complaints Fever and headache from last 10 days Pain in abdomen and anorexia from last 2 days Usg whole abdomen done.

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Hepatic abscess rt lobe with thick walled A/w fever most likely AMOEBIC ABSCESS FATTYLIVER Splenomegaly and celiac lymphadenopathy needs to workout out Adv aspiration of abscess and send for analysis Adv ct abdomen Cbc esr bsl urine and stool examination

Thanx dr Rajendra Rai
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It is a large size - 90× 85 mm abscess in liver - it requires CT guided drainage of abscess - most likely a PYOGENIC Abscess but could be amoebic abscess . Post drainage of abscess following treatment is indicated 1.Inj Cefriaxone 1 gm + sulbactum 500 mg B.D I/V for 10 days,followed by tab cefuroxime 500 mg + clavulanic acid B.D for 2 weeks . Also tab metronidazole 400 mg T.D.S for 2 weeks

Do, CBC & ESR, LFT, HbsAg, HCV, LDH, PTINR, APTT, Liver Spleen Colloidal Scanning, EUS, PLAN FOR SPLENECTOMY,, CONSULT GIT SURG.

?? Pyogenic abscess ?? Amoebic liver abscess USG/CT guided drainage of abscess, Pus sent for culture and sensitivity, Send CBC,LFT,RFT, Antibiotics depends upon the culture sensitivity, Antipyretics. CT abdomen should be done incase of recurrent abscess.

Need CT abdomen and CT guided aspiration of liver abscess. DD Amoebic liver abscess. - ankovy sause pus . Pyogenic abscess Infected hytadid cyst Treatment according to diagnosis

? HERPETIC ABSCESS.. WITH..ASSOCIATED COMPLICATIONS..

The first line treatment in uncomplicated amebic abscess should be amebicidialdrugs. Metronidazole is the drug of choice and has replaced the use of NJ emetine andchloroquine. Metronidazole is effective against both the intestinal and hepatic phase. 750 mg three times a day for 7–10 days is recommended....... Drainage tubal infection !!!!

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