Pyogenic liver abscess mimicking pleural effusion

  • M Abiodun
  • W Osarogiagbon
  • O Oviawe

Abstract

Pyogenic liver abscess is a major visceral abscess that may pose a diagnostic dilemma in a febrile child with prominent extra-abdominal symptoms. We present a case of a well-nourished, immunocompetent  four-year-old girl who had none of the common predispositions to a liver abscess. Hence, in this unusual setting, pyogenic liver abscess was not considered at the initial assessment, until closer evaluation and futile efforts to drain a seemingly large “pleural effusion” eventually revealed the diagnosis, which was confirmed by imaging. She underwent ultrasound-guided percutaneous drainage of the pyogenic liver abscess to avert the sequelae of this potentially fatal disorder. This underscores the need to think laterally when considering differential diagnoses for the sick child.

S Afr Fam Pract 2012;54(5):459-462

Author Biographies

M Abiodun
Director, Institute of Child Health, University of Benin Teaching Hospital
W Osarogiagbon
Director, Institute of Child Health, University of Benin Teaching Hospital
O Oviawe
Director, Institute of Child Health, University of Benin Teaching Hospital
Published
2013-11-14
Section
Articles

Journal Identifiers


eISSN: 2078-6204
print ISSN: 2078-6190