Table 1.
Author and date | Age and gender | Presenting chief complaint | Number and size of liver abscesses | Treatment | Total treatment length | Outcome | |
1 | Neumayr et al 1 | 18-year-old man | RUQ abdominal pain and remittent fevers | 3 (largest measuring 9.8×9.5×9.8 cm) | Initial: Intravenous imipenem and penicillin G (dosing not reported) Final: Oral levofloxacin and metronidazole |
7 weeks | Ultrasound of abdomen 35 days later showing minimal residual of one abscess, all others resolved |
2 | Livingston and Perez-Colon3 | 65-year-old man | RUQ abdominal pain, diarrhoea, nausea and poor appetite | 1 (10.2×7.4×9.4 cm) | Initial: Intravenous iprofloxacin 400 mg every 12 hours and intravenous metronidazole 500 mg every 8 hours Final: Intravenous ceftriaxone 2 g daily |
4 weeks | No follow-up imaging; significant clinical improvement |
3 | Tran et al 8 | 24-year-old man | Fevers, chills, myalgias and abdominal pain | Multiple-exact number and size unspecified | Initial: Intravenous ceftriaxone 2 g daily and azithromycin 500 mg daily Final: Penicillin 24 million units daily and low dose gentamicin |
6 months | No follow-up imaging; significant clinical improvement |
4 | Tran et al 8 | 53-year-old woman | Nausea, vomiting, diarrhoea and weight loss | Multiple-exact number unspecified (largest measuring 10×9.9 cm) | Initial: Imipenem 500 mg every 8 hours Final: Ceftriaxone 2 g daily |
6 months | CT abdomen/pelvis 6 months later showing resolution of liver abscesses |
5 | Reddy et al 9 | 50-year-old man | Generalised abdominal pain, nausea, vomiting, diarrhoea and fever | 4, size unspecified | Initial: Intravenous levofloxacin and intravenous metronidazole (dosing not reported) Final: Intravenous meropenem |
6 weeks | CT abdomen/pelvis 9 months later showing complete resolution of hepatic abscesses |
RUQ, right upper quadrant.