High fever and fatigue can be signs of a liver abscess.

However, these seemingly normal signs can sometimes signal more serious conditions, such as liver abscesses, a pocket of pus that forms in the liver and can lead to serious complications if not detected and treated promptly.

Mr. NTK, 36 years old, from Hanoi , was hospitalized with a high fever of 41.5 degrees Celsius, accompanied by pain in the right lower rib area and general fatigue.

Visiting reputable medical facilities, undergoing in-depth clinical tests, and following standard treatment protocols are essential to prevent dangerous complications and protect long-term health.

Initially, at a medical facility, he was diagnosed with a fever of unknown origin and referred to another hospital. Upon arriving at MEDLATEC General Hospital, he underwent a thorough examination and various clinical tests.

Test results showed that CRP and several other indicators were above normal levels, signaling an infection. Through abdominal ultrasound and CT scans, doctors discovered a mixed echogenic fluid collection in the right lobe of the liver, suspected to be a liver abscess.

A diagnosis of right hepatic abscess was made, and the doctor immediately prescribed antibiotic treatment combined with aspiration of the pus. Bacterial culture from the abscess identified the causative agent as Klebsiella pneumoniae. Thanks to timely detection and treatment, after 7 days the patient's health improved significantly, becoming alert and stable.

According to Dr. Dao Viet Hung, a specialist in Internal Medicine at MEDLATEC General Hospital, a liver abscess is a condition where pus forms in the liver due to bacteria, parasites, or other agents.

Common causes include pyogenic bacteria such as Klebsiella pneumoniae, E. coli, amoebic parasites like Entamoeba histolytica, or liver flukes. In addition, liver abscesses can also occur after trauma, fungal infections, tuberculosis, or from unknown causes.

Typical symptoms include fever, right upper quadrant pain, and an enlarged liver, but only about 50% of patients exhibit all three signs. Other symptoms may include jaundice, fatigue, nausea, vomiting, and weight loss.

The disease can spread via the bile ducts, portal vein, hepatic artery, or directly invade neighboring organs. Older adults or those with underlying conditions such as diabetes or immunosuppression are at higher risk.

If left untreated, liver abscesses can cause serious complications such as septic shock, rupture of the abscess into the abdominal cavity, pleural cavity, or pericardium, threatening the patient's life.

In the diagnosis and treatment of liver abscesses, ultrasound and computed tomography (CT) scans play a crucial role. Ultrasound helps detect abnormalities in the abdominal cavity, monitor treatment effectiveness, and assist in aspiration of the abscess.

Abdominal CT scans allow for the identification of the location, number, and size of abscesses, differentiation from other conditions such as cholecystitis and cholangitis, and detection of complications if the abscesses rupture.

CT scans are also more accurate in differentiating liver abscesses from tumors or small lesions that are difficult to see with ultrasound. Dr. Dao Viet Hung advises that when experiencing symptoms such as unexplained high fever, right lower rib pain, fatigue, or jaundice, people should not self-medicate.

Visiting reputable medical facilities, undergoing in-depth clinical tests, and following standard treatment protocols are essential to prevent dangerous complications and protect long-term health.

Source: https://baodautu.vn/sot-cao-met-moi-co-the-la-dau-hieu-ap-xe-gan-d486262.html