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</div><div><span>Pyogenic liver abscess</span></div></div>
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<article><div id="d-article"><div class="page-info"><div class="page-title"><a name="start" id="start">
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</a><h1 class="with-also" itemprop="name">Pyogenic liver abscess</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Pyogenic liver <a test="test" href="./001353.htm">abscess</a> is a pus-filled pocket of fluid within the liver. Pyogenic means "with pus".</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Causes</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>There are many possible causes of liver abscesses, including:</p><ul><li>Abdominal infection, such as <a test="test" href="./000256.htm">appendicitis</a>, <a test="test" href="./000257.htm">diverticulitis</a>, or a <a test="test" href="./000235.htm">perforated bowel</a></li><li>Infection in the blood</li><li>Infection of the tubes draining bile (bile ducts)</li><li>Recent <a test="test" href="./003338.htm">endoscopy</a> of the bile draining tubes</li><li>Trauma that damages the liver</li></ul><p>A number of common bacteria may cause liver abscesses. In most cases, more than one type of bacteria are found.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Symptoms</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Symptoms of liver abscess may include:</p><ul><li>Pain in the right upper abdomen (more common) or throughout the abdomen (less common)</li><li>Clay-colored stools</li><li>Dark urine</li><li>Fever, chills, night sweats</li><li>Loss of appetite</li><li>Nausea, vomiting</li><li><a test="test" href="./003107.htm">Unintentional weight loss</a></li><li>Weakness</li><li>Yellow skin (<a test="test" href="./000210.htm">jaundice</a>)</li><li>Right shoulder pain (referred pain)</li><li>Chest pain (lower right)</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Exams and Tests</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>Tests may include:</p><ul><li><a test="test" href="./003789.htm">Abdominal CT scan</a></li><li><a test="test" href="./003777.htm">Abdominal ultrasound</a></li><li><a test="test" href="./003744.htm">Blood culture</a> for bacteria</li><li><a test="test" href="./003642.htm">Complete blood count (CBC)</a></li><li><a test="test" href="./003895.htm">Liver biopsy</a></li><li><a test="test" href="./003436.htm">Liver function tests</a></li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Treatment</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>Treatment usually consists of placing a tube through the skin into the liver to drain the abscess. Less often, surgery is needed. You will also receive antibiotics for about 4 to 6 weeks. Sometimes, antibiotics alone can cure the infection.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Outlook (Prognosis)</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>This condition can be life threatening. The risk for death is higher in people who have many liver abscesses.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Possible Complications</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>Life-threatening <a test="test" href="./000666.htm">sepsis</a> can develop. Sepsis is an illness in which the body has a severe inflammatory response to bacteria or other germs.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>When to Contact a Medical Professional</h2></div><div class="section-button"><button type="submit" aria-controls="section-7" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-7"><p>Contact your health care provider if you have:</p><ul><li>Any symptoms of this disorder</li><li>Severe <a test="test" href="./003120.htm">abdominal pain</a></li><li><a test="test" href="./003205.htm">Confusion</a> or <a test="test" href="./003202.htm">decreased consciousness</a></li><li>High fever that doesn't go away</li><li>Other new symptoms during or after treatment</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Prevention</h2></div><div class="section-button"><button type="submit" aria-controls="section-8" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-8"><p>Prompt treatment of abdominal and other infections may reduce the risk of developing a liver abscess, but most cases are not preventable.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Liver abscess; Bacterial liver abscess; Hepatic abscess</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/1090t.jpg" alt="Digestive system" title="Digestive system" class="side-img"/><a href="../imagepages/1090.htm">Digestive system</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/18085t.jpg" alt="Pyogenic abscess" title="Pyogenic abscess" class="side-img"/><a href="../imagepages/18085.htm">Pyogenic abscess</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/8710t.jpg" alt="Digestive system organs" title="Digestive system organs" class="side-img"/><a href="../imagepages/8710.htm">Digestive system organs</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Kim AY, Chung RT. Bacterial, parasitic, and fungal infections of the liver, including liver abscesses. In: Feldman M, Friedman LS, Brandt LJ, eds. <em>Sleisenger and Fordtran's Gastrointestinal and Liver Disease</em>. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 84.</p><p>Sifri CD, Madoff LC. Infections of the liver and biliary system (liver abscess, cholangitis, cholecystitis). In: Bennett JE, Dolin R, Blaser MJ, eds. <em>Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases</em>. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 75.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 9/10/2022</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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