A retrospective review of all hepatic @entity733 identified at autopsy over the 24-year period 1977-2000 at the University Hospital of the West Indies (UHWI), Kingston, Jamaica, was conducted. Post mortem and microbiology records were reviewed. Data collected included age, gender, predisposing factors, organisms isolated, number of @entity733 and associated conditions, such as @entity6 . Data for the adults was analyzed separately. Thirty-nine cases of pyogenic @entity733 were identified from 7480 post-mortems. Thirty-three occurred in adults of mean age 59.5 years. Sixty per cent of the @entity733 were solitary. @entity253 was the predisposing factor in 33% of cases. Six per cent were cryptogenic: 11/33 @entity1 were @entity6 and these were significantly older than non- @entity6 (p < 0.014) @entity3274 was the most common organism isolated from @entity6 (6.9). Only 2/33 @entity733 were diagnosed ante-mortem. The @entity733 in @entity1 were more frequently multiple and associated with @entity1320 . Gram positive cocci were the commonly isolated organisms in @entity1 . There were no cases of amoebic abscess. The prevalence of @entity99 was low. @entity6 was a significant contributing factor. A high index of clinical suspicion is therefore warranted particularly in elderly @entity6 .

XXXX at the University Hospital of the West Indies. A 24-year autopsy review.

@entity1 :: ('9606', 'Species') :: ['children', 'patients'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetics', 'diabetic', 'diabetes mellitus', 'Diabetes mellitus'] @entity3274 :: ('573', 'Species') :: ['Klebsiella pneumoniae'] @entity1320 :: ('MESH:D059413', 'Disease') :: ['extra-abdominal infection'] @entity733 :: ('MESH:D000038', 'Disease') :: ['abscesses'] @entity253 :: ('MESH:D001660', 'Disease') :: ['Biliary tract disease'] @entity99 :: ('MESH:D056486', 'Disease') :: ['hepatic abscess']
@entity99 :: (MESH:D056486,Disease) :: ['Hepatic abscesses']
