Amoebic Liver Abscess: Diagnosis and Step-by-Step Management

Amoebic Liver Abscess: Diagnosis and Step-by-Step Management

Question. Outline The Management Of Amoebic Liver Abscess.

Answer.

Investigation of Amoebic liver abscess

“Importance of studying amoebic liver abscess for healthcare professionals: Questions explained”

• TLC and DLC: Leukocytosis is present.
• Stool study shows cyst.
• Sigmoidoscopy: Ulcers are seen.
• USG.
• Aspiration study.
• Immunofluorescence test for autoantibodies

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Management of Amoebic Liver Abscess/Hepatic Amoebiasis

• Early cases are responding well with metronidazole 800 mg TID for 5 days or tinidazole 2 gm daily for three days.
• Luminal amoebicide: Diloxanide furoate 500 mg 8 hourly for 10 days should be given to determine the luminal cyst.
• If the abscess is large and does not respond to chemotherapy repeated aspiration under ultrasonic guidance is required.
• Rupture of the abscess into the peritoneal cavity requires immediate aspiration or surgical drainage.