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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can A Liver Abcess Be Treated?

Hy. My father is having liver abcess problem since 4 weeks . It s pyogenic . Giving combination of sulbactrum and cefoperazone 2gm BD and metronidazole 500mg TID since last 21 days intravenous. If we remove treatment then again fever starts .but when again continue then fever off. What should we do? Abcess size 6cm . It s on left lobe of liver . Doctor not recommend aspiration because it s near to heart. But above treatment is reducing abcess size round about 30% . Should we continue same treatment more till 28 days ? Patient show weakness . TLC value 12. and HB level 9.5 ,all RFT and LFT reports are clear but only thing is low A/G ratio 0.6, BUN level is also low as normal level. Please segust best recommendation.thanks.
Sat, 5 May 2018
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General & Family Physician 's  Response
Hello,

This is empirical antibiotic therapy and you should continue it. If symptoms are still there, then higher antibiotics should be started and hepatologist opinion should further guide you. If we could aspirate it and confirm the diagnosis with its sensitivity, then treatment can be given accordingly.

Hope I have answered your query. Let me know if I can assist you further.

Regards,      
Dr. Bhadresh Lakhani

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How Can A Liver Abcess Be Treated?

Hello, This is empirical antibiotic therapy and you should continue it. If symptoms are still there, then higher antibiotics should be started and hepatologist opinion should further guide you. If we could aspirate it and confirm the diagnosis with its sensitivity, then treatment can be given accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhadresh Lakhani