Acute Liver Failure Secondary to Pyogenic Hepatic Abscess.

Authors

Emad Elmusa, HCA HealthcareFollow
Muhammad Raza, HCA HealthcareFollow
Michael Orlando, HCA HealthcareFollow
Seth Boyd, HCA HealthcareFollow
Robert Kulchinsky, HCA HealthcareFollow

Division

South Atlantic

Hospital

Orange Park Medical Center

Document Type

Case Report

Publication Date

1-27-2023

Keywords

acute fulminant hepatitis, acute fulminant liver failure, acute liver failure (alf), bacterial liver abscess, fulminant hepatitis, hepatic abscess, liver abscess drainage, pyogenic hepatic abscess

Disciplines

Bacterial Infections and Mycoses | Digestive System Diseases | Internal Medicine

Abstract

Hepatic abscesses are rare and can be pyogenic or amebic. Pyogenic hepatic abscesses are treated with antibiotics, percutaneous drainage when larger than 5 cm, and rarely requires surgical treatment. Clinical and laboratory manifestations of pyogenic hepatic abscesses include fever, abdominal pain, and elevations in liver enzymes. There is little documentation that a pyogenic hepatic abscess can cause acute liver failure. We present a case of a patient who developed acute liver failure secondary to a 14 cm pyogenic liver abscess. The patient's hepatic function normalized with percutaneous drain placement and antibiotics.

Publisher or Conference

Cureus

Recommended Citation

Elmusa E, Raza MW, Orlando M, Boyd S, Kulchinsky R. Acute Liver Failure Secondary to Pyogenic Hepatic Abscess. Cureus. 2023;15(1):e34258. Published 2023 Jan 27. doi:10.7759/cureus.34258