ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG, TRẺ MẮC ÁP XE GAN DO VI KHUẨN

Abstract

Subject: Children diagnosed with bacterial liver abscess was treated at the National Children’s Hospital from January 2018 to July 2024. Objective: To describe the clinical and laboratory characteristics of children with bacterial liver abscess. Results: Analyzing data from 31 patients, we found cases across all age groups, with disease distribution in all three geographical regions. Symptoms of acute bacterial infection included fever (90.3%), pain in the liver area (83.9%); hepatomegaly (87.1%); jaundice (6.5%). Mild to moderate anemia was prevalent (13/31). The average white blood cell count was 18.8 ± 10.3 G/L. The proportion of low levels of Protein, Albumin, and Prothrombin was very low. GOT levels above 40 mmol/L accounted for 35.5%; GPT levels above 40 mmol/L accounted for 38.7%; Prothrombin ratio values below 60% accounted for 12.9%. The number of cases with one lesion and three or more lesions was high (54.8% and 35.5%, respectively). Conclusion: Bacterial liver abscess occurs in all age groups. Clinical symptoms include high fever, abdominal pain in the liver area, and hepatomegaly. The CRP and white blood cell counts are elevated. The rate of liver function impairment is low. Ultrasound and CT, MRI scans of the abdomen can provide an accurate diagnosis.