When is surgical intervention indicated for amebiasis?

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

Surgical intervention is usually indicated in the following clinical scenarios [4] :

  • Uncertain diagnosis (possibility of pyogenic liver abscess)

  • Concern about bacterial suprainfection in amebic liver abscess

  • Failure to respond to metronidazole after 4 days of treatment

  • Empyema after amebic liver abscess rupture

  • Large left-side amebic liver abscess representing risk of rupture in the pericardium

  • Severely ill patient with imminent amebic liver abscess rupture


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