PDF(Pubmed)
Abstract：
Pyogenic liver abscess (PLA) and hepatitis A are common in developing countries. As there is an overlap of clinical features, a diagnosis of dual infection can be missed. Here, we present the case of a five-year-old male who presented with abdominal pain, fever, and jaundice diagnosed as a complicated liver abscess with concurrent hepatitis A. To our knowledge, this is the first case where a PLA co-existed with hepatitis A. Simultaneous infection should be considered when a patient with liver abscess presents with jaundice, especially in areas where both diseases are endemic. Early diagnosis of both is crucial as PLA is a potentially fatal disease and co-infection with hepatitis A may worsen clinical outcomes.
摘要：
化脓性肝脓肿（PLA）和甲型肝炎在发展中国家很常见。由于临床特征重叠，双重感染的诊断可能会错过。这里,我们介绍了一个5岁男性腹痛的病例，发烧,黄疸被诊断为并发甲型肝炎的复杂肝脓肿，这是第一个PLA与甲型肝炎共存的病例。当肝脓肿患者出现黄疸时，应考虑同时感染，尤其是在这两种疾病都流行的地区。两者的早期诊断至关重要，因为PLA是一种潜在的致命疾病，甲型肝炎合并感染可能会恶化临床结果。
