RESUMEN
Liver abscess is endemic in resource-limited countries such as The Gambia where access to advanced imaging techniques or modern treatment modalities is limited. Despite this, mortality in this cohort was low. Therefore antibiotic therapy combined with percutaneous abscess drainage remains a reasonable treatment strategy of liver abscess in resource-poor settings.
Asunto(s)
Antibacterianos , Drenaje , Absceso Hepático , Humanos , Gambia/epidemiología , Antibacterianos/uso terapéutico , Absceso Hepático/terapia , Absceso Hepático/microbiología , Absceso Hepático/diagnóstico por imagen , Masculino , Femenino , Persona de Mediana Edad , Adulto , Países en Desarrollo , Terapia Combinada , Estudios Retrospectivos , AncianoRESUMEN
Diagnosis and management of liver abscesses in low- and middle-income countries (LMICs) is difficult due to limited diagnostic imaging availability. Limited data is available describing the use of point-of-care ultrasound (POCUS) in the diagnosis and percutaneous aspiration of liver abscesses in resource-limited countries. We describe a 21-year-old female who was diagnosed with a liver abscess. The diagnosis of liver abscess was made via POCUS, and the patient was successfully managed with empiric antimicrobials and repeated POCUS-assisted percutaneous needle aspiration. In resource-limited settings, adequate training of personnel and availability of POCUS may help in early diagnosis and treatment of liver abscess - thus helping to reduce its related morbidity and mortality - while also aiding in resource conservation.