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KMID : 1130320100530050666
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Korean Journal of Pediatrics
2010 Volume.53 No. 5 p.666 ~ p.668
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A case of pyogenic liver abscess in a 10-year-old girl
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Byun Jung-Lim
Bae Sun-Hwan
Park Sang-Woo
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Abstract
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Pyogenic liver abscesses are rare in children. In pediatric patients, altered host defences seem to play an important role. However, pyogenic liver abscess also occurs in healthy children. We experienced a case of pyogenic liver abscess in a healthy immunocompetent 10-year-old-girl. The patient presented two distinct abscesses: one subphrenic and the other intrahepatic. The intrahepatic abscess resolved with percutaneous drainage and 3 weeks of parenteral antibiotic therapy but the subphrenic abscess which could not be drained needed prolonged parenteral antibiotic therapy in addition to oral antibiotic therapy. We performed follow-up serial CT scan of the abscess cavity to decide on the duration of antibiotic therapy. Here we present this case with a brief review of the literature.
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KEYWORD
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Liver abscess, Child, Antibiotics, Drainage, CT scan
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