Evidence map›Paper›PMID 39744201›Full record

ArticleWorld journal of hepatology2024

Clinicopathological presentation of liver abscesses and hydatid liver disease from two South African tertiary hospitals.

Krevosha Pillay, Zafar Ahmed Khan, Ekene Emmanuel Nweke, Jones Omoshoro-Jones

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Article in World journal of hepatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

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4 authors.

Krevosha PillayDepartment of Surgery, University of Witwatersrand, School of Clinical Medicine, Johannesburg 2193, Gauteng, South Africa. krevoshap@gmail.com.
Zafar Ahmed KhanDepartment of Surgery, University of Witwatersrand, School of Clinical Medicine, Johannesburg 2193, Gauteng, South Africa.
Ekene Emmanuel NwekeDepartment of Surgery, University of Witwatersrand, School of Clinical Medicine, Johannesburg 2193, Gauteng, South Africa.
Jones Omoshoro-JonesDepartment of Surgery, University of Witwatersrand, School of Clinical Medicine, Johannesburg 2193, Gauteng, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatic abscesses represent infections of the liver parenchyma from bacteria, fungi, and parasitic organisms. Trends in both abscess microbiology and management of abscesses (infective collections) have changed over the past decade. There is a paucity of published data regarding the clinicopathological features of liver abscesses in sub-Saharan Africa and other low-income and middle-income countries.

aimTo evaluate the clinical presentations of liver abscesses and hydatid liver disease at two South African tertiary-level hospitals.

methodsInformation accessed from electronic discharge summaries of patients from two South African referral hospitals in Johannesburg, South Africa from January 2016 to December 2020 were reviewed and analyzed. All patients older than 13 years presenting with infective liver collections (pyogenic, amoebic) and hydatid disease were included. Clinical findings and laboratory, microbiology, and radiology results and outcomes were collated and analyzed.

resultsIn total, 222 patients were included. There were 123 males (55.41%) and 99 females (44.59%), with a median age of 48 years. Comorbidities included HIV (24.23%), hypertension (20.57%), and diabetes mellitus (16.83%). The majority (74.77%) of abscesses were pyogenic, while amoebic and hydatid abscesses represented 16.22% and 9.01%, respectively. The predominant etiology of the pyogenic liver abscesses (PLA) was biliary-related disease. WBC and C-reactive protein were significantly higher in the pyogenic group (

conclusionIn this study, the most common type of liver abscess was PLAs of biliary origin in middle-aged males. The microbiology was similar to those described in Asian populations, and non-surgical management

Indexed as

Amoebic liver abscessHuman Immunodeficiency VirusHydatid liver diseaseLiver EchinococcosisPercutaneous drainagePyogenic liver abscess

Identifiers

PMID39744201
PMCPMC11686533

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