All are true about amoebic liver abscess except:

All are true about amoebic liver abscess except:
a) More common in females
b) More common in left lobe of liver
c) Metronidazole is mainstay of treatment
d) Multifocal abscess can not be treated by aspiration

    1. ac
    1. a
    1. ab
    1. bc

0 voters

ANS:

  • The abscesses referred to in this question are amebic abscesses and not pyogenic abscesses as drainage is indicated in every pyogenic abscess.
  • The mainstay of treatment for amebic abscesses is metronidazole which is curative in over 90% of pts. Clinical improvement is seen within 3 days.

Aspiration is only recommended for following conditions

  • for diagnostic uncertainty
  • for failure to respond to therapy in 3 to 5 days (5 to 7 days according to Maingot’s)
  • abscesses with high risk to rupture (abscess > 5 cms, left lobe abscess)
  • pyogenic super infection