Affiliations: Hospital das Clínicas of Teresópolis Constantino
Otaviano, Teresópolis School of Medicine, Teresópolis, Rio de Janeiro,
Brazil
Note: [] Correspondence: Eduardo de Oliveira Duque-Estrada, MD, Hospital
das Clínicas de Teresópolis, Av. Alberto Torres, s/n,
Teresópolis, Rio de Janeiro, Brazil, ZIP 25950-000. Tel.: +55 21
87776047; Fax: +55 21 26425427; E-mail: [email protected]
Abstract: Improvements in the medical and surgical care of pediatric patients
have substantially reduced the incidence of pyogenic liver abscess, which is
now a very uncommon condition in children. The purpose of this study was to
review five cases of pyogenic liver abscess in children presenting to our
hospital. Three patients were managed by percutaneous needle aspiration under
ultrasonographic guidance together with antibiotic therapy. Two patients with
multiple small abscesses were managed by prolonged antimicrobial treatment
alone. All five patients survived. The etiology, diagnosis and medical and
surgical management of liver abscess in children are discussed.
Keywords: Liver abscess, percutaneous drainage, clinical treatment, antibiotics, children