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Solitary Pyogenic Liver Abscess in Children

Solitary Pyogenic Liver Abscess in Children Abstract Pyogenic liver abscesses are infrequent in pediatric patients, although they are said to occur in debilitated children1 and in children with chronic granulomatous disease.2 We report here five cases of pyogenic liver abscess in previously healthy children, diagnosed in a period of nine months at the Hospital de Criança Conceição, Porto Alegre, Brazil. Report of Cases.—Case 1.—A 4-year-old boy with fever, lassitude, weight loss, and an upper respiratory tract infection of ten days' duration was admitted with mild abdominal distention and tender hepatomegaly (liver edge 9 cm below right costal margin). The chest roentgenogram showed a right lower lobe consolidation. The hemoglobin level was 8 g/dl; the WBC count, 12,000/cu mm, with rare myelocytes, 54% band cells, 26% segmented neutrophils, 5% eosinophils, and 14% lymphocytes. Serum transaminase levels were slightly altered: SGOT, 50 Sigma Frankel units (normal 8 to 40); SGPT 51 Sigma Frankel units (normal, References 1. Dehner LP, Kissane JM: Pyogenic hepatic abscesses in infancy and childhood . J Pediatr 74:763-773, 1969.Crossref 2. Johnston RB, Baehner RL: Chronic granulomatous disease: Correlation between pathogenesis and clinical findings . Pediatrics 48:730-739, 1971. 3. Young AE: The clinical presentation of pyogenic liver abscess . Br J Surg 63:216-219, 1976.Crossref 4. Kaplan SL, Feigin RD: Pyogenic liver abscess in normal children with fever of unknown origin . Pediatrics 58:614-620, 1976. 5. Rubin RH, Swartz MN, Malt T: Hepatic abscess: Changes in clinical, bacteriological and therapeutic aspects . Am J Med 57:601-610, 1974.Crossref 6. Sherlock S: Disease of the Liver and Biliary System , ed 5. Oxford, England, Blackwell Scientific Publications, 1975, p 608. 7. Samuels LD: Liver scans in chronic granulomatous disease of childhood . Pediatrics 48:41-50, 1971. 8. Willard JH: Pyogenic (non-amebic) abscess of the liver , in Bockus HL (ed): Gastroenterology . Philadelphia, WB Saunders Co, 1965, vol 3, p 487. 9. Barbour GL, Juniper K Jr: A critical comparison of amebic and pyogenic abscess of the liver in 66 patients . Am J Med 53:323, 1977.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1978.02120360097021
Publisher site
See Article on Publisher Site

Abstract

Abstract Pyogenic liver abscesses are infrequent in pediatric patients, although they are said to occur in debilitated children1 and in children with chronic granulomatous disease.2 We report here five cases of pyogenic liver abscess in previously healthy children, diagnosed in a period of nine months at the Hospital de Criança Conceição, Porto Alegre, Brazil. Report of Cases.—Case 1.—A 4-year-old boy with fever, lassitude, weight loss, and an upper respiratory tract infection of ten days' duration was admitted with mild abdominal distention and tender hepatomegaly (liver edge 9 cm below right costal margin). The chest roentgenogram showed a right lower lobe consolidation. The hemoglobin level was 8 g/dl; the WBC count, 12,000/cu mm, with rare myelocytes, 54% band cells, 26% segmented neutrophils, 5% eosinophils, and 14% lymphocytes. Serum transaminase levels were slightly altered: SGOT, 50 Sigma Frankel units (normal 8 to 40); SGPT 51 Sigma Frankel units (normal, References 1. Dehner LP, Kissane JM: Pyogenic hepatic abscesses in infancy and childhood . J Pediatr 74:763-773, 1969.Crossref 2. Johnston RB, Baehner RL: Chronic granulomatous disease: Correlation between pathogenesis and clinical findings . Pediatrics 48:730-739, 1971. 3. Young AE: The clinical presentation of pyogenic liver abscess . Br J Surg 63:216-219, 1976.Crossref 4. Kaplan SL, Feigin RD: Pyogenic liver abscess in normal children with fever of unknown origin . Pediatrics 58:614-620, 1976. 5. Rubin RH, Swartz MN, Malt T: Hepatic abscess: Changes in clinical, bacteriological and therapeutic aspects . Am J Med 57:601-610, 1974.Crossref 6. Sherlock S: Disease of the Liver and Biliary System , ed 5. Oxford, England, Blackwell Scientific Publications, 1975, p 608. 7. Samuels LD: Liver scans in chronic granulomatous disease of childhood . Pediatrics 48:41-50, 1971. 8. Willard JH: Pyogenic (non-amebic) abscess of the liver , in Bockus HL (ed): Gastroenterology . Philadelphia, WB Saunders Co, 1965, vol 3, p 487. 9. Barbour GL, Juniper K Jr: A critical comparison of amebic and pyogenic abscess of the liver in 66 patients . Am J Med 53:323, 1977.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Nov 1, 1978

References