Amoebic abscess identified by clinical features, USG, presence of anchovy sauce pus, E.histolytica ELISA and presence of E.histolytica in pus.
Anaya-Velazquez et al., "Anti-amoebic effect of gossypol in golden hamsters with experimental hepatic
amoebic abscess," Journal of Pharmaceutical Sciences, vol.
Differential diagnosis included enteric duplication cyst, lymphoma and especially in an African setting, hydatid cyst and
amoebic abscess.
Amoebic abscess has an imaging appearance that is similar to that of a pyogenic abscess; however, it is generally seen in younger patients and there may be a helpful travel history.
The aetiology of a splenic
amoebic abscess is obscure but may result from rupture of a liver abscess into the spleen.
Sonographic findings in hepatic
amoebic abscess. Radiology 1982;145(1):123-6.
In complicated
amoebic abscess and pyogenic liver abscess, traditional mode of management has been surgical drainage.
A hospital based prospective observational study was carried out in the surgical wards of Rajarajeshwari Medical College and Hospital, Bangalore and the initial diagnosis of
amoebic abscess was made depending on the typical features on USG.
Pruritus & change in bowel habits like diarrhea were standout featuring while comparing pyogenic to
amoebic abscess.
AMOEBIC ABSCESS: Is caused by parasite Entamoeba histolytica & hepatic abscess is the most common extra intestinal complication.
Amoebic abscess shows abundant necrotic cells with fewer inflammatory cells.
Amoebic abscesses tend to be solitary, but multiple abscesses can occur and have been described in previous literature [34, 35].