Đặc điểm lâm sàng, cận lâm sàng ở bệnh nhân áp xe gan do vi khuẩn điều trị tại Bệnh viện Quân y 175

Abstract

Objective: To describe clinical, subclinical characteristics and bacteriological characteristics in patients with pyogenic liver abscess. Subject and method: Retrospectively study 48 patients were diagnosed with pyogenic liver abscess had positive cultered bacterial which treated at 175 Military Hospital from 4/2017 to 4/2022. Result: The majority of patients presented with fever (89.6%); right upper abdominal pain in (81.3%); common comorbidities were diabetes (41.7%); gallstones (6.3%); Anemia was 35.4%, leukocytosis 75%; increased neutrophils 85.4%; increased liver enzymes AST and ALT were 68.7%, 64.6%, respectively. 91.7% with a solitary abscess, 79.2% in the right hepatic lobe, 20.8% gas formation and 4.2% had complications of abscess rupture. Common bacteriological characteristics were Gram negative bacteria, accounting for 95.8% (Klebsiella pneumoniae (85.4%) and Escherichia coli 8.3%, Burkhoderia apecies 2.1%). Gram negative bacteria (Enterococcus feacalis 2.1%, Staphylococcus aureus 2.1%). Conclusion: Pyogenic liver abscess has prominent symptoms such as fever, right upper abdominal pain, with a single abscess in the right hepatic lobe. Common comorbidity is type 2 diabetes and the main bacteriological characteristics is Klebsiella pneumoniae.