Fever abdominal pain

Female patient of age 50 Chief Complaints Fever Abdominal pain Weakness History History of taking injection monocef 1gm Bd for five days from 18/11 to 23/11 as patient widal test positive dated 17/11। Titre 1/80++ 1/160++ Vitals Bp:normal Patient is diabetic but in control Investigations Hb 7.0 Esr:50 Crp:250 Usg attached: 27/11 Diagnosis LIVER ABCESS ASSOCIATED WITH SPLENOMEGALY Management Need surgical intervention??? Any other advice??

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Pyogenic liver abscess Get CBC, liver enzymes Start cefoperazone 1.5gm bd Amikacin 500 bd Metrogly 100ml tds All for 5 days, then repeat usg or CT Abdomen

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