Raft Ahmed Ghori, Manzoor A Memon, Pervaiz Asghar, Hanif Memon.
Amoebic Liver Abscess and its Complications.
Biomedica Jan ;14:78-83.

A study of 30 cases was carried out to probe into the pattern of clinical presentation, its various complications, importance of serodiagnosis and to study the different therapeutic modalities and their response. Jaundice is present only in those patients who have multiple liver abscesses. Point tenderness on the posterio-lateral portion of the lower right intercostal spaces is the most frequent finding even in the absence of diffuse liver enlargement. The clinical evaluation and ultrasonography can give a positive diagnosis. Serology in the endemic areas is of most value in excluding the diagnosis, than in confirming it. In uncomplicated cases and small liver abscess, routine aspiration is not required. In such cases metronidazole alone for 10 days is the treatment of choice. In cases of large and multiple abscesses metronidazole + chloroquine can be used, alongwith needle aspiration. If response is inadequate, Dehydroemetine can be added.

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