Is Liver Abscess Dangerous?

Liver abscess is a serious disease that can be fatal, very common in tropical countries.
What is liver abscess? The cause to the illness
Liver abscess is a condition in which the pus accumulates in the liver, resulting in the formation of a single or multiple scattered pus.
It is possible to divide liver abscess into 2 types based on the following causes:
Liver abscess due to amoeba
Bacterial abscess
Liver abscess due to amoeba
Risk subjects: people with dysentery or chronic dysentery, men aged 30-50 years old
Pathogen: E.histolytica pathogenic parasite will cause amoebic colitis and dysentery.
The main route of transmission is the oral fecal tract, amoeba penetrates through the intestinal mucosa and gusts into the portal vein

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Bacterial liver abscess
Bacterial liver abscess most often secondary to abdominal infection, infectious endocarditis, roast infection, cirrhosis
The time of bacterial liver abscess may be after a liver biopsy or blockage of the bile duct.
The bacteria that cause liver abscess are usually originated from intestinal tract, typically Klebsiella pneumoniae, Escherichia coli, Bacteroides, Enterococci, candia spp . .




Abscess in the liver
Symptoms of liver abscess
Chills high fever
Patients with mild or moderate fever (<38 degrees), not accompanied by chills. When superinfection bacteria will have high fever and chills, the symptoms are anorexia, nausea and difficulty sleeping ... Pain in the liver area The pain site is mainly in the lower right flank, the pain may extend to the whole epigastrium or throughout the abdomen if the abscess is acute. Painful liver When the liver is enlarged, the patient will feel tense and heavy feeling in the lower right flank area and the patient will find it difficult to breathe because the enlarged liver pushes the diaphragm up. Pressing sore ribs During the examination, the doctor palpates the liver (through the 11-12 ribs) and the patient feels increased pain X-ray When photographing the diaphragm to be high, less mobile, the angle of the diaphragm must be fuzzy Intercostal pain is one of the symptoms of liver abscess Is liver abscess dangerous? Liver abscess is extremely dangerous if it is not detected and treated in time, Rupture of abscess into pericardium Complications occur when the right abscess liver rupture will break into the pericardium, causing symptoms of shortness of breath, sweating, cyanosis, inaudible heartbeat.


This is the most common and very dangerous complication because failure to provide timely emergency will lead to death from acute cardiac arrest.
Abdominal infection
When the abscess ruptures into the abdomen, it will cause an infection of the entire abdominal cavity with symptoms: severe abdominal pain, hard abdomen, high fever ... Patients should be emergency in time to drain the abdomen or surgery. to avoid infection or death.
Rupture of abscesses into the lungs and pleura
A broken abscess causes the diaphragm to puncture and pus into the lungs, resulting in pus or purulent discharge.
Rupture of the digestive tract
When the liver abscess bursts into parts of the digestive tract such as the colon, the stomach will cause the patient to vomit pus, passing blood.




In addition, when the abscess bursts into the abdominal wall, abdominal abscess or pus leak will form.
Can liver abscess spread?
Liver abscess is contagious, but it is not spread by air or normal human-to-human contact.
Liver abscess due to amoeba will mainly spread through oral feces, stemming from patients eating unhygienic, unclean activities. Therefore, the ill person must wash hand sanitizer before eating.
Diagnosis of liver abscess
In addition to the preliminary diagnosis based on clinical symptoms such as right upper quadrant pain, high fever, cough and shortness of breath ... the doctor will perform the following subclinical tests:
Blood tests
Blood sedimentation rate test
Liver function tests
Stool test
X-ray of chest straight
Ultrasound of liver abscess
Computerized tomography
Endoscopic retrograde pancreatitis
Treatment of liver abscess
Internally medical treatment
Antipyretic drugs in tissues: emetine, imidazole, chloroquine
Antipyretic agents due to contact: quinoleine, furoxate diloxanide
Supportive measures: rest, no hard work, light food, easy digestion and plenty of vitamins
Treatment with antibiotics with bacterial liver abscess
Surgical treatment
Drainage:
+ For small pus (<5cm) without surgical intervention + Pus drive from 5-10cm depending on the position and each specific case: when the pus is located close to the liver surface or in the lobe, it will be poked to remove pus or surgical drainage to avoid complications of pus foci + Pus with large size> 10cm should be punctured or drained surgical
Complications of peritonitis, abscess under diaphragm, pleural effusion, pericardium .



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How to prevent liver abscess?
Avoid uncooked foods such as sour spring rolls, rice paper rolls, salads, blood pudding, raw vegetables,
Do not drink uncooked water, unhygienic beverages
Hands should be washed with soap after using the toilet and before every meal.
When suspected liver abscess should seek medical attention as soon as possible for timely treatment.

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