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Question :
Posted On : 01/27/2019 12:30:24
A TEN YRS OLD GIRL PRESENTED WITH FEVER FOR 1 MONTH AND PAIN RT UPPER ABDOMEN.ON EXAMINATION PT IS NOT TOXIC.FEVER RISE UPTO 100.HER USG SHOWED CAVITY IN LIVER CONTAINING AROUND 450 ML FLUID_?ABCESS_?.CLINICAL IT APPEARED TO BE AMOEBIC LIVER ABCESS.AS PATIENT IS NOT TOXIC.SHE IS DOING ALL HER ROUTINE ACTIVITIES.SHE IS ON Inj CEFTRIXONE ,Inj Metrogyl,Tab Chloroquine.i want to know should i go for usg guided aspiration or wait for a week for medicine response.
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Expert Answer :
Well i would suggest the following: Amoebic serology.
Since fever is there for a month now they would definitely be possibility of bacterial infection so anbiotic coverage besides metrogyl is a must. Aspiration is suggested for following:
If there is a thin rim around it so chances of rupture would be there, i mean thin rim from surface or from diaphragm, and for abscess in left lobe.
And it would be useful to confirm bacterial or amoebic too.

Thanks
Neelam mohan
Director
Department of Pediatric Gastroenterology, Hepatology and liver transplant
Medanta Medicity Hospital Gurgaon Delhi NCR
09811043475
Answer Discussion :
T
Tumpa Das
conservative management and weekly usg follow up of abscess size
22 Days ago
A
Alok Kumar
can go
22 Days ago
N
Nitin Prajapati
drainage and culture
25 Days ago
A
Asma Yaqub
manage conservatively
27 Days ago
T
Tojo Thomas
conservative management
27 Days ago
12



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