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
-
- ac
-
- a
-
- ab
-
- bc
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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