Masroor I, Hashmi R.
View Box Case - 1.
J Pak Med Assoc Jan ;52(1):43-4.

A 12 old year boy presented with complaints of high-grade fever and right upper quadrant pain, dating back to 2 weeks. On examination his temperature was 101 °F and he had tenderness in the right hypochondrium. His total leukocyte count was 15,000 and the ESR was also raised. Rest of the examination and laboratory workup were unremarkable. Imaging Finding: Ultrasound of upper abdomen revealed an 8.8x6.0 cm hypoechoic area with well-defined margins in right lobe of liver. He was given a trial of antibiotics for four days but his symptoms did not improve. Under ultrasound guidance 150 ml of pus was aspirated from the lesion. Post aspiration size was 2.0x1.5 cm. Patient was discharged on oral antibiotics and had an uneventful recovery. Diagnosis: Pyogenic Liver Abscess.

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