Pyogenic liver abscess is a pus-filled area in the liver.
Liver abscess; Bacterial liver abscess
Causes, incidence, and risk factors
There are many potential causes of liver abscesses, including:
- Infection in the blood
- Infection of the bile draining tubes
- Recent endoscopy of the bile draining tubes
- Trauma that damages the liver
The most common bacteria that cause liver abscesses are:
- Escherichia coli
- Klebsiella pneumoniae
- Staphylococcus aureus
In most cases, more than one type of bacteria is found.
Signs and tests
Treatment usually consists of placing a tube through the skin to drain the abscess. Less often, surgery is required. You will also receive antibiotics for about 4 - 6 weeks. Sometimes, antibiotics alone can cure the infection.
This condition can be life threatening some patients. The risk for death is higher in people who have many liver abscesses.
Life-threatening sepsis can develop.
Calling your health care provider
Prompt treatment of abdominal and other infections may reduce the risk of developing a liver abscess. Many cases are not preventable.
Reddy KR. Bacterial, parasitic, fungal and granulomatous liver diseases. In: Goldman L, Schafer AI, eds. Cecil Medicine. 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 360.
Sifri CD, Madoff LC. Infections of the liver and biliary system. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone;2009:chap 72.