Amoebic liver abscess

Amoebic liver abscess

Amebic liver abscess.

Liver involv by E. hirtolytica produce ALA.

Pathogenesis.
Trophozoit of E.his carid as emboli by portal vein.capilarys of lever as filter n hold parasites.larg no.cause coagulaton necrosis n absces formatiA?n. Absces is single n at postsup of rt lobe of liver.

Clinical manifestations.



 Fever swat wt los chils rigor. Pain in rt hypochondrium. Diaphram irretaton refer pain in rt shoulder. Tenderness of liver.

Complicatom.

Granuloma cutis. Abses rupture in bronchus. Anchovy sauce pus. Peritonitis. Pericarditis n rarely cardiac tamponade. Metastatic brain abses n slenic abses.

Investigation.

Polymorphonucler leucocytosis.
Alkaline phosphatase elevaton.
SGOT reflect severty of disease.
Raised dome of diafragm in radio.
rt sided pl efusion n implis basal pneumonitis.
Floroscopy,
diminis moment of diafram on rt side.
Ultrasonic scanig locaton of abses.
Isotop liver scan.
Serology test.
Aspiration.

Tretment

Metronidazole 800mg thrice daily. Chloroquine 300mg twice daily.  Ementine or dehydroementine. Chemotherapy is not prompt.   Furamide at a dose of 500mg thrice a day.?