To present a clinical case of a 52-year-old female patient with a diagnosis of pyogenic liver abscesses

Introduction and Objectives

a case of pyogenic abscesses is presented

Case Summary

52 years old woman begins her condition with pain in the right hypochondrium, with an intensity 3/10, which increases with inspiration. She also refers to pain in the epigastrium, of postprandial onset, exacerbated by diet. Upon examination, she found the patient to be calm, cooperative, and well-oriented in her three neurological spheres, norm reflexes pupils, and oral mucosa well hydrated. Cylindrical neck, no lymph nodes, cardiopulmonary without compromise. Globose abdomen at the expense of panniculus adiposus, peristalsis present, pain on superficial and deep palpation in the right hypochondrium. Whole limbs.

Results

Treatment was started with metronidazole 500mg IV every 8 hours and ceftriaxone 1g IV every 12 hours for 28 days. The patient shows decreased pain in the right hypochondrium and clinical improvement, so it is decided to discharge her at the end of the month.

Discussion

Starting treatment in a timely manner in the patient reduces the number of complications such as the acute abdomen, occlusion of the hepatic veins, and occlusion of the inferior vena cava.

Conclusion

Starting early antibiotic therapy allows us to improve the prognosis of our patients with pyogenic liver abscesses, reducing morbidity and mortality.

Funding

The resources used in this study were from the hospital without any additional financing

Declaration of interest

The authors declare no potential conflicts of interest