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Pediatric Pyogenic Liver Abscess

Israeli, Rafi MD*; Jule, Jose Ernesto MD; Hom, Jeffrey MD, MPH

doi: 10.1097/PEC.0b013e318196fa9b
Illustrative Cases

Pyogenic liver abscess (PLA) is a rare pediatric disease. Typically, PLA is found in adults with biliary disease. There are no typical physical findings or symptoms. Often, pathogenic organisms are not recovered for identification. This case illustrates a teenager presenting with prolonged episodes of fever and vomiting. With percutaneous drainage and month-long antibiotic therapy, the PLA resolved. This case illustrates that a high index of suspicion is needed for diagnosis.

From the *Department of Emergency Department, University Hospitals of Cleveland, Case School of Medicine, Cleveland, OH, †Department of Emergency Medicine, State University of New York-Downstate, Kings County Hospital Corporation, Brooklyn, and ‡Division of Emergency Services, Department of Pediatrics, New York University, School of Medicine, New York.

Reprints: Jeffrey Hom, MD, MPH, State University of New York- Brooklyn, Department of Emergency Medicine, 450 Clarkson Ave, Box 1228, Brooklyn, NY 11203 (e-mail:

Funding and support: None

© 2009 Lippincott Williams & Wilkins, Inc.