True about amoebic liver abscess
A. Frequently associated with diarrheal presentation
B. Most common in right lobe of liver
C. Can rupture into pleural cavity
D. Almost never respond to metronidazole
E. Commonpresentationin left lobe of liver
A. Frequently associated with diarrheal presentation
B. Most common in right lobe of liver
C. Can rupture into pleural cavity
D. Almost never respond to metronidazole
E. Commonpresentationin left lobe of liver
Ans. B. Most common in right Lobe
liver; (C) Can rupture into pleural cavity
•
Extraintestinalinfection of E. histolytica most often
involves the liver, right-side being
the commonest.
* Althoughinitial site of infection is colon,fewer than one third of patients with amoebic abscess have
active diarrhoea, so diarrhoea in notmost
frequent. Most important features are rt, quadrant pain (upper), fever,
weight-loss, hepatomegally.
• Pleuro-pulmonary involvement occurring in 20-30% of pts is the most
frequent complication of amoebic liver abscess.
• Metronidazole is drug of choice. More than 95% of patients
respond dramatically to metronidazole therapy.
