Successful Management of Pyogenic Liver Abscess in a 39-Year-Old Male through Ayurveda: Case Study

Abstract

Liver abscesses are a significant clinical condition characterized by localized pus collection within the liver parenchyma. This condition is correlated with a disorder described in Ayurveda texts; known as Yakrut vidradhi (liver abscess). A liver abscess is a type of Abhyantar Vidradhi; that refers to an internal abscess. In India, studies have estimated the prevalence of pyogenic liver abscess (PLA) to be approximately 0.022-0.031% (22-31 cases per 100,000 individuals). The condition is significantly associated with risk factors such as alcohol consumption and diabetes. In South Asia, the incidence has been increasing, with Taiwan reporting a prevalence of 0.012% to 0.018% (12 to 18 cases per 100,000 people). Klebsiella Pneumoniae is the most common pathogen, particularly in patients with comorbidities like diabetes.
This case study discusses a 39-year-old male admitted with complaints of nausea, abdominal pain primarily in the right hypochondriac region, general weakness, and intermittent fever. Laboratory tests, including hematological investigations and liver function tests, along with imaging studies, confirmed the presence of a pyogenic liver abscess. The patient was successfully managed through Ayurveda treatment using multiple polyherbal formulations. This case emphasizes the importance of early detection and intervention to prevent complications.