In developing country like India, liver abscess in children is mostly pyogenic (PLA) in nature. This article aimed to analyze detail parameters of LA of admitted cases in tertiary care hospital of Ahmedabad city. Details of 32 patients From1 month to 14 years age groups were assessed retrospectively over periods of 2 years. The demographic profile, clinical presentation, laboratory and ultra sonographic, microbiological profile, management and outcome of patients were retrieved from case records. All cases had PLA with mean age 6 years and male predominance (64.28%). Under nutrition and enteric fever were only risk factors derived. Fever (93.75%) and abdominal pain (68.75%) were commonest presentation of LA. Leukocytosis found in 62.5% cases with neutrophilic predominance. Majority of LA were single (90.6%), in right lobe of liver (68.8%) with more than 50mm in size. Positivity rate of pus and blood culture in 12.5% and 15.62% cases respectively where staphylococcus aureus is commonest organism.17 cases (53.12%) require antibiotics treatment alone ,14 cases (43.75%) USG guided needler aspiration and 1 case (3%) open surgical drainage with 100%recovery rate. PLA is commonest in children and cryptogenic in origin. Management of LA required multidisciplinary approached include antibiotic and/or USG guided percutaneous needle aspiration.

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Introduction: Typhoid fever is preventable infectious diseases caused by gram negative bacteria Salmonella typhi and is still a major public health problem in India. Objective: The main aim of our study was to find out the clinical profile in admitted pediatric patients of typhoid fever. Design: Retrospective case study .Subjects: 292 hospitalized Widal positive typhoid fever pediatric cases admitted to tertiary care hospital from1 st August 2014 to 31 st July 2015. Methods: Records of all the patients who were discharged with the diagnosis of Widal Positive enteric fever were retrieved, compiled and analyzed. Results: Out of 292 total patients: 18(6.16 %) were below 2 years of age; 54(18.49%) cases were between 2-5 years; 124(42.46%) were between 5 to 10 years of age and 96 (32.87%) were above 10 years of age. Fever was the main presenting complains in all cases. Vomiting (49.31%), diarrhea (36.98%) and cough (33.56) were common associated complains. Almost all (289, 98.97%) patients were treated with Injection ceftriaxone after positive Widal reports to start with. Only in 62(21.23%) patients, oral Azithromycin was added along with ceftriaxone. 58.20% patients required more than 6 days hospital stay. Conclusion: The incidence of typhoid fever was 5.63 % amongst the total admitted patients. Typhoid fever is having high morbidity but with availability of third generation cephalosporin, mortality has reduced. 24.65% patients were below 5 years of age which shows changing trends in age of presentation which was considered rare below 5 years of age.