Concluded Case

Liver abscess

3 yers old male came with fever and abdominal pain x 3 days... Usg report attached... Cbc: 7.1/20800/6.25 lacs Crp: 10.32...sgpt, creat normal Choice of antibiotics and management

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Concluded answer

it was pyogenic liver abscess...drainage under usg guidance done...fever last for 10 days..now child is afebrile..iv antibiotic 14 days given...discharged on oral antibiotics..total course 4 wks

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Take history of contact with tuberculosis. Tlc is on the higher side. I would recommend u to start with inj piperacillin n inj Mikacin. Send comment on peripheral blood smear n iron studies. Most probably iron deficiency anemia and thrombocytosis is associated with it. U can give packed red cell transfusion for quicker recovery. Do urine r/e n c/s too.

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Liver abscess, with peritonitis and pleural effusion ? Amoebic ? Pyogenic Suggest CT abdomen, and CT guided aspiration of liver abscess and aspirate exam Investigate anemia, suggest blood transfusion.

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it was pyogenic liver abscess...drainage under usg guidance done...fever last for 10 days..now child is afebrile..iv antibiotic 14 days given...discharged on oral antibiotics..total course 4 wks