Disclosures The authors stated that they had no interests which might be perceived as posing a conflict or bias.
Adult liver abscess: characteristics of patients living in rural north-eastern Taiwan
Article first published online: 30 MAY 2007
© 2007 The Authors. Journal compilation © 2007 Blackwell Publishing Ltd
International Journal of Clinical Practice
Volume 63, Issue 6, pages 949–953, June 2009
How to Cite
Kang, S.-C., Hsu, N.-W., Tang, G.-J., Hwang, S.-J. and Fung, C.-P. (2009), Adult liver abscess: characteristics of patients living in rural north-eastern Taiwan. International Journal of Clinical Practice, 63: 949–953. doi: 10.1111/j.1742-1241.2007.01285.x
- Issue published online: 13 MAY 2009
- Article first published online: 30 MAY 2007
- Paper received November 2006, accepted December 2006
Aims: This study aimed to analyse the characteristics of adult liver abscess (LA) patients living in rural townships of Taiwan.
Patients and methods: We retrospectively screened the electronic admission records of a rural community hospital located in north-eastern Taiwan from 1 April, 2002 to 30 April, 2006. Relevant data, including subjects’ basic characteristics, laboratory findings and infectious microorganisms, were extracted.
Results: Fifty-six subjects (mean age: 66.1 ± 15.9 years; range: 23–94 years) were enrolled; one patient had an amoebic LA and 55 had pyogenic LA. Five subjects died in hospital. Overall, 80.5% of patients complained of having a fever, 87.5% had single abscess, 71.4% had right hepatic lobe involvement and 58.9% underwent invasive drainage. Most subjects (66.1%) did not have diabetes mellitus, 94.6% did not have a hepato-biliary tumour, 73.2% did not have gallstones, 78.6% did not have hepatitis and 87.5% did not have prior hepato-biliary surgery. Klebsiella pneumoniae was the most common infecting microorganism. Previous hepato-biliary surgery and serum creatinine >2.0 mg/dl were significantly more common in patients ≥65 years of age (p = 0.031). Diabetes mellitus was more common in female subjects (p = 0.021). Invasive drainage and single abscess were not significantly correlated to prognosis.
Discussion: Adult LA patients living in rural north-eastern Taiwan have different characteristics than patients living in urban areas. Geriatric LA patients should be managed cautiously because of the possibility of renal insufficiency or previous hepato-biliary surgery. Female LA patients should be evaluated for the presence of diabetes mellitus.