What is the treatment for amebic liver abscess?

Updated: Jul 19, 2019
  • Author: Vinod K Dhawan, MD, FACP, FRCPC, FIDSA; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Amebic liver abscess of up to 10 cm can be cured with metronidazole without drainage. [72] Drainage is reserved for larger abscesses, for patients who do not exhibit a clinical response to medical therapy by about 72 hours, or for left-lobe abscesses, which could rupture into the pericardium. Resolution of the abscess cavity on serial imaging takes months. [73] Treatment with a luminal agent should also follow. [4]


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