Liver Abscess, Pyogenic
Description General measures Medicine treatment ICD-10 code: K75.0 DESCRIPTION Focal bacterial infection, usually polymicrobial, of the liver with pus. Multiple abscesses are not uncommon. GENERAL MEASURES Drainage is essential in all cases. This should preferably be done percutaneously by inserting a catheter under ultrasound guidance. MEDICINE TREATMENT Empiric antibiotic therapy Amoxicil
ICD-10 code: K75.0
DESCRIPTION
Focal bacterial infection, usually polymicrobial, of the liver with pus. Multiple abscesses are not uncommon.
GENERAL MEASURES
Drainage is essential in all cases. This should preferably be done percutaneously by inserting a catheter under ultrasound guidance.
MEDICINE TREATMENT
Empiric antibiotic therapy
- Amoxicillin/clavulanic acid, oral, 875/125 mg 12 hourly.
If unable to tolerate oral therapy:
- Amoxicillin/clavulanic acid, IV, 1.2 g 8 hourly
Duration of antibiotic therapy is ill defined, but may need to be for as long as 12 weeks in cases of multiple abscesses. Continue until drainage is complete and CRP has returned to normal values. Monitoring response to therapy by ultrasound is not useful due to slow resolution of abscesses on imaging.
Standard Treatment Guidelines And Essential Medicines List For South Africa, Adult Hospital level, 2020-4_Version 1_July 2024
Chapter 1: Alimentary tract; 1.2 Hepatic Disorders; 1.2.5 Liver Abscess, Pyogenic