NDLI: Evaluation of clinical risk factors for developing pleural empyema secondary to liver abscess

Content Provider	Springer Nature : BioMed Central
Author	Yi, Eunjue Kim, Tae Hyung Lee, Jun Hee Chung, Jae Ho Lee, Sungho
Abstract	Background The aim of this study was to investigate the clinical manifestation and predictive risk factors of pleural empyema developing during treatment of the pyogenic liver abscess. Methods Medical records of patients with the liver abscess in our institution were reviewed retrospectively. Enrolled patients were classified into four groups; Group 1: patients without pleural effusion, Group 2: patients with pleural effusion and who were treated noninvasively, Group 3: patient with pleural effusion and who were treated with thoracentesis, and Group 4: patients with pleural effusion that developed into empyema. Patient characteristics, clinical manifestation, and possible risk factors in development of empyema were analyzed. Results A total of 234 patients was enrolled in this study. The incidence rate of empyema was 4.27% (10 patients). The mean interval for developing pleural effusion was 5.6 ± 6.35 days. In multivariate analysis, risk factors for developing pleural effusion included the location of the liver abscess near the right diaphragm (segment 7 and 8, OR = 2.30, p = 0.048), and larger diameter of the liver abscess (OR = 1.02, p = 0.042). Among patients who developed pleural effusions, presences of mixed microorganisms from culture of liver aspirates (OR = 10.62, p = 0.044), bilateral pleural effusion (OR = 46.72, p = 0.012) and combined biliary tract inflammation (OR = 21.05, p = 0.040) were significantly associated with the need for invasive intervention including surgery on effusion. Conclusion The location of the liver abscess as well as pleural effusion, elevated inflammatory markers, and combined biliary tract inflammation may be important markers of developing pleural complication in patients with pyogenic liver abscess.
Related Links	https://bmcgastroenterol.biomedcentral.com/counter/pdf/10.1186/s12876-019-1128-4.pdf
Ending Page	10
Page Count	10
Starting Page	1
File Format	HTM / HTML
DOI	10.1186/s12876-019-1128-4
Journal	BMC Gastroenterology
Issue Number	1
Volume Number	19
Language	English
Publisher	BioMed Central
Publisher Date	2019-12-16
Access Restriction	Open
Subject Keyword	Gastroenterology Internal Medicine Hepatology Liver abscess Pleural empyema Risk factors
Content Type	Text
Resource Type	Article
Subject	Gastroenterology
Journal Impact Factor	2.5/2023
5-Year Journal Impact Factor	2.7/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

A rare case of pericarditis and pleural empyema secondary to transdiaphragmatic extension of pyogenic liver abscess

Prognostic risk factors for pyogenic liver abscess caused by Klebsiella pneumoniae

Correction to: A rare case of pericarditis and pleural empyema secondary to transdiaphragmatic extension of pyogenic liver abscess

Pleural empyema secondary to amebic liver abscess.

Initial presentations and final outcomes of primary pyogenic liver abscess: a cross-sectional study

Logistic regression analysis of clinical and computed tomography features of pulmonary abscesses and risk factors for pulmonary abscess-related empyema

International survey among hepatologists and pulmonologists on the hepatic hydrothorax: plea for recommendations

Risk factors and clinical outcomes for spontaneous rupture of pyogenic liver abscess.

Clinical characteristics and management of liver abscess in The Gambia, a resource-limited country

Evaluation of clinical risk factors for developing pleural empyema secondary to liver abscess

Similar Documents

A rare case of pericarditis and pleural empyema secondary to transdiaphragmatic extension of pyogenic liver abscess

Prognostic risk factors for pyogenic liver abscess caused by Klebsiella pneumoniae

Correction to: A rare case of pericarditis and pleural empyema secondary to transdiaphragmatic extension of pyogenic liver abscess

Pleural empyema secondary to amebic liver abscess.

Initial presentations and final outcomes of primary pyogenic liver abscess: a cross-sectional study

Logistic regression analysis of clinical and computed tomography features of pulmonary abscesses and risk factors for pulmonary abscess-related empyema

International survey among hepatologists and pulmonologists on the hepatic hydrothorax: plea for recommendations

Risk factors and clinical outcomes for spontaneous rupture of pyogenic liver abscess.

Clinical characteristics and management of liver abscess in The Gambia, a resource-limited country

Evaluation of clinical risk factors for developing pleural empyema secondary to liver abscess