What is liver abscess?
A liver abscess is a pus-filled cyst on the liver. The liver is an organ of the digestive system that helps with the digestive process and performs many other important functions. These functions produce bile to break down food into energy; Creation of important substances like hormones; Cleansing toxins from the blood, including drugs, alcohol and drugs; And regulating the storage of fat and the production and release of cholesterol.
Anyone can have a liver abscess. This condition is caused by infections that spread into the bloodstream from nearby structures, bile drainage ducts, appendix, or intestines, or from more distant parts of the body. liver abscess can also develop as a result of surgery or another injury to the liver.
The most common type of liver abscess is caused by a bacterial or parasitic infection. The bacterial liver abscess is often called a pyogenic liver abscess. Intestinal disorder A microbe called amoebae that cause amoebic diarrhea can also cause an amoebic liver abscess.
When caught early, the liver abscess can usually be treated and can often be treated with a course of antibiotics or a combination of antibiotics and a surgical procedure to drain the tumor. If left untreated, a liver abscess can rupture and spread the infection, leading to sepsis, a malignant bacterial blood infection.
What are the symptoms of a liver abscess?
The symptoms of a liver abscess vary from person to person but generally include a combination of the symptoms listed below. By itself, a liver abscess is not fatal, but it can become dangerous if the infection spreads and spreads. This can happen suddenly, so you should see your healthcare provider if you experience any of the following symptoms.
Common symptoms of liver abscess
You may experience a combination of liver abscess symptoms. Sometimes any of these symptoms can be serious:
- Abdominal pain (especially in the upper right part of the abdomen)
- Clay coloured benches
- Dark urine
- Fever or cold
- Joint pain
- Lack of appetite
- Sickness or laziness
- Nausea with or without vomiting.
- Pleurisy chest pain (sucks)
- Unexplained weight loss
- Yellowing of the skin and whites of the eyes (jaundice)
- Serious symptoms that indicate a malignant condition.
- In some cases, liver abscess can be fatal. Seek medical attention immediately if you, or someone with you, have any of these life-threatening symptoms (call 911):
- Changes in mood or sudden changes in behaviour such as confusion, forgetfulness, laziness, hallucinations, and delusions.
- High fever (over 101 degrees Fahrenheit)
- Jerky movements
- Sickness or laziness
- Fast heart rate (tachycardia)
- Breathing or breathing problems such as shortness of breath, shortness of breath or inability to breathe, laboured breathing, shortness of breath, or headache.
- Unbearable pain
What causes a liver abscess?
Anyone can have a liver abscess. This condition can be caused by infections of the blood, gastrointestinal tract, or stomach. It can also be caused by an injury from a surgical procedure or other injuries to the liver.
Causes of a liver abscess infection
A liver abscess can be caused by the following infections:
- Bacterial infections of the bile ducts.
- Bacterial infections of the stomach associated with appendicitis, diverticulitis, or perforated intestines
- Bloodstream infection
- Entamoeba histolytica infection (an organism that causes amoebic diarrhea; spread through water or person-to-person contact)
- Traumatic causes of liver tumor
- Liver tumors can be caused by surgical and diagnostic procedures on the liver, as well as accidental injury:
- Endoscopy of the biliary drainage ducts
- Liver injury
Risk factors for liver abscess
Bacterial liver disease is the most common cause of bile duct disease
After a gallbladder obstruction, eg. Ex.
- A postoperative complication in patients undergoing endoscopic sphincterotomy for bile duct stones or surgical biliary-intestinal anastomosis
- Cholecystitis, an infection of the portal bed organs.
- Penetration and blunt injury to the liver
- The subphrenic or perineal abscess is an infection that spreads directly from a focus presenting to the infection.
- Systemic bacteremia, e.g. Eg endocarditis, pyelonephritis, in which the body spreads to the liver through the hepatic artery.
- Systemic diseases including diabetes mellitus, malignancy, cirrhosis, cardiopulmonary disease, severe malnutrition, inflammatory disease
- Immune system disorders, eg. Eg chronic granulomatous disease, hematologic malignancy, liver transplantation
- Recurrent acute disease, especially in alcoholics.
- The amebic liver abscess should be considered in patients with localized areas
- 10 times more common in women than men
- Inmates of residential institutions, female/male patients who have sexual dysfunction and sexual intercourse are at high risk
- Pancreatotudinectomy, chemoembolization or radiofrequency ablation, necrosis of the primary tumor or superinfection of metastases in the presence of infected bile
Diagnosis of a liver abscess
If you have a suspected liver abscess, your doctor will examine your stomach to see if your liver is enlarged and harder than usual. It may feel tender when they press your liver.
The doctor will then send you for an ultrasound scan of your abdomen and liver. This is a very simple and quick way to look for abscesses and to see how big they are. It is not unusual to have one larger abscess and some smaller ones. Sometimes two small abscesses join together to form a larger one.
You may need further scans, such as a CT scan, to get more detailed information about the abscess. It is also important to try and confirm which bug is causing the abscess. To do this, a doctor or nurse will take some of the pus from the abscess, using a fine needle inserted into your stomach. You will be sedated for this.
Liver Abscess treatment
Treatment for a liver abscess is usually a combination of antibiotics and occasional antifungal drugs, given intravenously (by injection or drip), often over several months.
If you have a liver abscess, you usually have to stay in the hospital for a long time. However, if you are feeling a little better, it is often possible to go home and get your medications from a community nurse as a day patient at home or in the hospital. Some people can give themselves antibiotics.
Doctors can insert a special tube (often called a central line) into your arm, neck, or chest to make it easier for antibiotics to get into your system. It lasts for many months. Doctors can also use it to draw blood because people with tumors need frequent testing. Centre lines are removed as soon as they are no longer needed.
After a while, you will start taking oral antibiotics, but you will have to take them for several months.
Gamma interferon is another common treatment for liver abscess in combination with antibiotics/antifungal medications. It is given by injection, under the skin, three times a week.
Gamma interferon causes flu and “cold” -like symptoms within 24 hours of treatment for most people. Paracetamol helps with this. Community nurses can give gamma interferon at home and some will learn how to take it themselves.
Antibiotics facilitate their action by removing pus from the liver. However, it is not always possible to drain the clumps. Sometimes there is no liquid pus inside them and they are hard to come by. Sometimes a tumor requires drainage in more than one case.
Another option that makes antibiotics successful is to remove large numbers of tumors during the operation.
It takes time for the liver to recover from a tumor. It may take a while for you to feel healthy and well and return to your normal activity level. You have to go back to school or work regularly, a few hours at a time.
A liver abscess takes a long time to heal. The fever that accompanies the pus takes a while to cool down. The fever should start to occur less frequently and should be less severe after treatment. However, you may have a high fever once or twice a day for a time.
Most people lose their appetite during long-term treatment and stay in the hospital. Sometimes they need additional nutrition. They can get it through shakes or through a special feeding tube in the nose or stomach. Very occasionally someone has to be fed intravenously for a short time through the central line.
What are the possible complications of a liver abscess?
Complications from an untreated or improperly controlled liver abscess can be serious, in some cases even fatal. By following a treatment plan specifically designed for you and your healthcare professional, you can help reduce the risk of serious complications. Liver abscess complications arise from the rupture and include:
- Emphysema (pus in the chest)
- Endocarditis (inflammation of the lining of the heart and heart valves)
- For liver failure
- Pleural effusion (accumulation of fluid around the lungs)
- Sepsis (malignant infection of the blood)
- Spread of infection