CLINICAL AND LABORATORY CHARACTERISTICS OF LIVER ABSCESS PATIENTS AT NGUYEN TRI PHUONG HOSPITAL

Abstract

Background: Liver abscess is a common disease in tropical countries, including Vietnam. Nguyen Tri Phuong Hospital has treated many cases of liver abscesses since 2010. However, there has not been a research report summarizing the clinical and subclinical characteristics of liver abscess cases here. Subjects and methods: Retrospective study of patients diagnosed with a liver abscess at Nguyen Tri Phuong Hospital from January 2017 to December 2022. Results: There were 61 patients diagnosed with a liver abscess at the General Surgery Department of Nguyen Tri Phuong Hospital from January 2017 to December 2022 with the following characteristics: male/female ratio of 1.65/ first; average 56.1 ± 12.3 years old, history of diabetes accounted for 32.8%; The prominent clinical symptoms are fever (88.5%), right upper quadrant pain (85.2%). The average volume of liver abscess on ultrasound was 377.2 ± 50.4 ml, the liver abscess located in the right liver accounted for 73.4%, most of which was a single abscess (78.7%). Klebsiella pneumonia was cultured with the highest rate of 42.6% (26/61) Conclusion: Liver abscess is more common in the elderly, more in men than in women with common symptoms including fever and right upper quadrant pain. Klebsiella pneumoniae became the most common cause of the liver abscess.