SURGICAL, RADIOLOGICAL AND INTERVENTIONAL APPROACHES IN THE TREATMENTOF HEPATIC-ABSCESSES DUE TO STREPTOCOCCUS-ANGINOSUS MILLERI

Pyogenic liver abscess is a relatively rare disease, often concerning elderly patients in bad general condition and with underlying diseases . Out of a retrospective study (1984-1991) of 44 patients (f 43%, m 57 %) with pyogenic liver abscesses and 12 patients (f 17%, m 83%) with a mebic liver abscesses we present 5 patients with multifocal lesions du e to Streptococcus anginosus Milleri - a special group concerning ther apy and course of disease. The therapy was high-dose i.v. antibiotic t herapy in all 5 cases and additional percutaneous drainage with pig-ta il catheters - inserted under CT guidance - in 4 cases (1-5 catheters, time of drainage 6-63 days). The duration of hospitalisation was 15-7 3 days (median 45), intravenous antibiotic treatment lasted 4-40 days. After discharge oral antibiotics were continued for 14-42 days.