TY - CHAP M1 - Book, Section TI - Chapter 237. Infections of the Liver 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. Y1 - 2011 N1 - T2 - Rudolph's Pediatrics, 22e 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. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accesspediatrics.mhmedical.com/content.aspx?aid=7023037 ER -