STAT Dx: Aspirate from the liver of a young traveler who presents with fever, abd pain and diarrhea. The Dx is best made by?
a. Examine aspirate under microscopy
b. Blood culture
c. Stool analysis
e. Culture of aspirate
When you have a chocolate like aspirate in a traveler with diarrhea, you have to consider amebiasis.
Amebic liver abscess is the most common form of extraintestinal amebiasis. It occurs in as many as 5% of patients with symptomatic intestinal amebiasis and is 10 times as frequent in men as in women.
Approximately 80% of patients with amebic liver abscess present within 2-4 weeks of infection. An estimated 95% of amebic liver abscesses related to travel develop within 5 months, though some may not manifest until years after travel to or residency in an endemic area.
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