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Cryptogenic hepatic abscess in two uncompromised children.

Abstract：

:A pre-mortem diagnosis of cryptogenic liver abscess in children is rare, but this diagnosis must be considered in the evaluation for pyrexia of unknown origin. Two previously healthy children were suspected of harboring liver abscesses. Radioisotopic, sonographic, and angiographic evidence supported the clinical diagnosis. Operative drainage was performed in each case. No source for either abscess was found and no cause established. Anaerobic bacteria, microaerophilic streptococcus and Fusobacterium necrophorum, each in pure culture, were retrieved on culture of the pus from each child's abscess. Experience gleaned from these two cases emphasizes the possibility of an hepatic abscess existing in the uncompromised child with fever of unknown origin. A cryptogenic hepatic abscess may occur in a child with only mild gastrointestinal complaints and in a child with sickle cell disease. Recovery is attributed to suspicion of diagnosis, prompt investigation, operative drainage, effective culture technique with isolation of organism and appropriate antibiotic coverage.

journal_name

J Pediatr Surg

journal_title

Journal of pediatric surgery

authors

Harrington E,Bleicher MA

doi

10.1016/s0022-3468(80)80520-3

subject

Has Abstract

pub_date

1980-10-01 00:00:00

pages

660-2

issue

5

eissn

0022-3468

issn

1531-5037

pii

S0022346880001248

journal_volume

15

pub_type

杂志文章

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