Infectious diseases and Heptalogy

1) Cause of liver abcess in this patient ?

1ans:cause of liver abcess in this patient is ENTAMOEBA HISTOLYTICA

2) How do you approach this patient ?

2 ans:APPROACH IN THE PATIENT OF AMOEBIC LIVER ABCESS

3) Why do we treat here ; both amoebic and pyogenic liver abcess

3ans:we treat the paient for both amoebic and pyogenic abcess  so that we dont rely only on anti-amebic therapy and insure comple treatment of the cause

4) Is there a way to confirmthe definitive diagnosis in this patient?

4 ans: he confirmatory test for amoebic abcess is

*Serologic testing is the most widely used method of diagnosis for amebic liver abscess. In general, the test result should be positive, even in cases when the result of the stool test is negative (only extraintestinal disease).

*The diagnosis of amebic liver abscess was based on four or more of the following criteria:

 (i) a space-occupying lesion in the liver diagnosed by ultrasonography and suggestive of abscess, 

(ii) clinical symptoms (fever, pain in the right hypochondrium (often referred to the epigastrium), lower chest, back, or tip of the right shoulder), 

(iii) enlarged and/or tender liver, usually without jaundice, 

(iv) raised right dome of the diaphragm on chest radiograph, and 

(v) improvement after treatment with antiamebic drugs (e.g., metronidazole).