RT Book, Section
A1 Jensen, Kyle
A1 Telega, Grzegorz
A2 Rudolph, Colin D.
A2 Rudolph, Abraham M.
A2 Lister, George E.
A2 First, Lewis R.
A2 Gershon, Anne A.
SR Print(0)
ID 7023037
T1 Chapter 237. Infections of the Liver
T2 Rudolph's Pediatrics, 22e
YR 2011
FD 2011
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-149723-7
LK accesspediatrics.mhmedical.com/content.aspx?aid=7023037
RD 2024/04/24
AB Patients  with  infections  of  the  liver  generally  present  with  nonspecific  symptoms  such  as  fever,  abdominal  pain,  fatigue,  or  weight  loss.  The  abdominal  pain  may  be  diffuse,  be  confined  to  the  right  upper  quadrant,  or  radiate  to  the  shoulder  or  back.  Other  symptoms  may  include  adenopathy,  arthralgias,  and  headache.  The  initial  history  should  focus  on  travel,  unprotected  sex  or  drug  use,  anatomical  anomalies  or  surgery  that  may  affect  the  biliary  tracts,  a  need  for  hemodialysis  or  blood  products,  and  family  history  of  hepatitis.  Physical  exam  is  often  normal;  some  patients  will  have  right  upper  quadrant  or  diffuse  abdominal  tenderness  and  hepatomegaly.  Jaundice  or  stigmata  of  chronic  liver  disease  is  infrequent.1  For  additional  details  regarding  viral  hepatitis,  please  refer  to  Table  237-1  and  Chapter  308.  Details  regarding  diagnosis  and  treatment  of  other  organisms  that  infect  the  liver  are  provided  in  the  relevant  chapter  in  Section  17.