HEPATIC-ABSCESS CAUSED BY SALMONELLA-TYPHI - DIAGNOSIS AND MANAGEMENTBY PERCUTANEOUS ECHO-GUIDED NEEDLE ASPIRATION

Three cases of liver abscesses due to Salmonella typhi (2 solitary, 1 with double localization in the right lobe) are described in which spe cific diagnosis was based on percutaneous echo-guided aspiration of th e lesions, Haemocultures and coprocultures were negative, in all cases , and pus-cultures of aspirated material from cavities grew Salmonella typhi; Widal became significantly positive only in one patient 15 day s after discharge, Percutaneous needle drainage, combined with chloram phenicol therapy, was successfully performed under echo guidance; only in one case was a second aspiration needed three days after the first one, Fever disappeared within 48-72 hours after drainage of the absce ss, No complications or side-effects were observed.