Liver abscess is an uncommon disease. The annual incidence is approximately 3.6 per 100,000 in the US and the UK and ranges from 8 to 20 cases per 100,000 hospital admissions in most series.[4]Mohsen AH, Green ST, Read RC, et al. Liver abscess in adults: ten years experience in a UK centre. QJM. 2002 Dec;95(12):797-802.
https://academic.oup.com/qjmed/article/95/12/797/1572029/Liver-abscess-in-adults-ten-years-experience-in-a
http://www.ncbi.nlm.nih.gov/pubmed/12454322?tool=bestpractice.com
[6]Meddings L, Myers RP, Hubbard J, et al. A population-based study of pyogenic liver abscesses in the United States: incidence, mortality, and temporal trends. Am J Gastroenterol. 2010 Jan;105(1):117-24.
http://www.ncbi.nlm.nih.gov/pubmed/19888200?tool=bestpractice.com
[7]Huang CJ, Pitt HA, Lipsett PA, et al. Pyogenic hepatic abscess: changing trends over 42 years. Ann Surg. 1996 May;223(5):600-7.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1235191/pdf/annsurg00039-0160.pdf
http://www.ncbi.nlm.nih.gov/pubmed/8651751?tool=bestpractice.com
[8]Johannsen EC, Sifri CD, Madoff LC. Pyogenic liver abscesses. Infect Dis Clin North Am. 2000 Sep;14(3):547-63.
http://www.ncbi.nlm.nih.gov/pubmed/10987109?tool=bestpractice.com
The annual incidence of liver abscess may be higher in parts of Asia (e.g., approximately 15 cases per 100,000/year in Taiwan).[9]Tsai FC, Huang YT, Chang LY, et al. Pyogenic liver abscess as endemic disease, Taiwan. Emerg Infect Dis. 2008 Oct;14(10):1592-600.
http://wwwnc.cdc.gov/eid/article/14/10/07-1254_article
http://www.ncbi.nlm.nih.gov/pubmed/18826824?tool=bestpractice.com
[10]Kim JK, Chung DR, Wie SH, et al. Risk factor analysis of invasive liver abscess caused by the K1 serotype Klebsiella pneumoniae. Eur J Clin Microbiol Infect Dis. 2009 Jan;28(1):109-11.
http://www.ncbi.nlm.nih.gov/pubmed/18663497?tool=bestpractice.com
Most cases of amoebic infections occur in Central and South America, Africa, and Asia.[11]Petri WA Jr, Singh U. Diagnosis and management of amebiasis. Clin Infect Dis. 1999 Nov;29(5):1117-25.
https://academic.oup.com/cid/article/29/5/1117/337264/Diagnosis-and-Management-of-Amebiasis
http://www.ncbi.nlm.nih.gov/pubmed/10524950?tool=bestpractice.com
Amoebiasis (and subsequent amoebic liver abscess) in developed countries is seen most commonly in immigrants and travellers from endemic areas.[2]Centers for Disease Control and Prevention. CDC Yellow Book 2024: health information for international travel. Section 5: travel-associated infections & diseases - amebiasis. May 2023 [internet publication].
https://wwwnc.cdc.gov/travel/yellowbook/2024/infections-diseases/amebiasis#clinical
[12]Snider C, Petri WA Jr. Travel medicine. In: Rakel RE, ed. Conn's current therapy. 61st ed. New York, NY: W.B. Saunders; 2008:156-64.[13]Johnston V, Stockley JM, Dockrell D, et al; British Infection Society and the Hospital for Tropical Diseases. Fever in returned travellers presenting in the United Kingdom: recommendations for investigation and initial management. J Infect. 2009 Jul;59(1):1-18.
http://www.ncbi.nlm.nih.gov/pubmed/19595360?tool=bestpractice.com
The incidence of liver abscess increases with age, occurring slightly more often in men than in women.[3]Kaplan GG, Gregson DB, Laupland KB. Population-based study of the epidemiology of and the risk factors for pyogenic liver abscess. Clin Gastroenterol Hepatol. 2004 Nov;2(11):1032-8.
https://www.cghjournal.org/article/S1542-3565(04)00459-8/fulltext
http://www.ncbi.nlm.nih.gov/pubmed/15551257?tool=bestpractice.com
[4]Mohsen AH, Green ST, Read RC, et al. Liver abscess in adults: ten years experience in a UK centre. QJM. 2002 Dec;95(12):797-802.
https://academic.oup.com/qjmed/article/95/12/797/1572029/Liver-abscess-in-adults-ten-years-experience-in-a
http://www.ncbi.nlm.nih.gov/pubmed/12454322?tool=bestpractice.com
[6]Meddings L, Myers RP, Hubbard J, et al. A population-based study of pyogenic liver abscesses in the United States: incidence, mortality, and temporal trends. Am J Gastroenterol. 2010 Jan;105(1):117-24.
http://www.ncbi.nlm.nih.gov/pubmed/19888200?tool=bestpractice.com
[9]Tsai FC, Huang YT, Chang LY, et al. Pyogenic liver abscess as endemic disease, Taiwan. Emerg Infect Dis. 2008 Oct;14(10):1592-600.
http://wwwnc.cdc.gov/eid/article/14/10/07-1254_article
http://www.ncbi.nlm.nih.gov/pubmed/18826824?tool=bestpractice.com
[14]Jepsen P, Vilstrup H, Schønheyder HC, et al. A nationwide study of the incidence and 30-day mortality rate of pyogenic liver abscess in Denmark, 1977-2002. Aliment Pharmacol Ther. 2005 May 15;21(1):1185-8.
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2036.2005.02487.x/full
http://www.ncbi.nlm.nih.gov/pubmed/15882238?tool=bestpractice.com
Epidemiological studies have shown that the incidence of liver abscess has been increasing while the mortality has been stable or decreasing.[6]Meddings L, Myers RP, Hubbard J, et al. A population-based study of pyogenic liver abscesses in the United States: incidence, mortality, and temporal trends. Am J Gastroenterol. 2010 Jan;105(1):117-24.
http://www.ncbi.nlm.nih.gov/pubmed/19888200?tool=bestpractice.com
[9]Tsai FC, Huang YT, Chang LY, et al. Pyogenic liver abscess as endemic disease, Taiwan. Emerg Infect Dis. 2008 Oct;14(10):1592-600.
http://wwwnc.cdc.gov/eid/article/14/10/07-1254_article
http://www.ncbi.nlm.nih.gov/pubmed/18826824?tool=bestpractice.com
[14]Jepsen P, Vilstrup H, Schønheyder HC, et al. A nationwide study of the incidence and 30-day mortality rate of pyogenic liver abscess in Denmark, 1977-2002. Aliment Pharmacol Ther. 2005 May 15;21(1):1185-8.
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2036.2005.02487.x/full
http://www.ncbi.nlm.nih.gov/pubmed/15882238?tool=bestpractice.com
The trend of increasing incidence may be due to the availability of more sensitive diagnostic tests than in the past (e.g., computed tomography scan) or to the increasing prevalence of predisposing conditions.