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Year : 2020  |  Volume : 6  |  Issue : 3  |  Page : 225-227

Is There a Difference in Etiology in the Liver Abscesses in South India?: A Clinical and Microbiological Study

1 Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu
2 Department of General Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India

Correspondence Address:
Mr. Tusharindra Lal
B-90, Swasthya Vihar, Delhi-110092, New Delhi

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mamcjms.mamcjms_68_20

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Background: Liver abscesses in India are considered to be amoebic in origin. Studies for determining causative organism of liver abscesses in Southern India are limited in number. The present study was conducted to determine the etiology of these abscesses in the Chennai region. Methods: Twenty-three patients with a diagnosis of liver abscess were prospectively studied with full blood profile. Ultrasound-guided pus was aspirated and sent for culture. Amoebic serology was performed. The abscesses were classified as pyogenic, amoebic and indeterminate. Results: Sixteen patients (69.6%) were diagnosed as pyogenic, three (13%) as amoebic and four (17.4%) as indeterminate. Fifteen (5.2%) abscesses were single and 12 (52.3%) affected the right lobe. Escherichia coli (42.85%) and Staphylococcus aureus (35.71%) remained the most common causative organisms grown on pyogenic culture. Conclusion: In this study of a small group of patients from South India, liver abscesses were found to be predominantly single and pyogenic in origin with an equal propensity of gram-positive and gram-negative organisms.

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