TROPICAL DESEASES 6

Liver Abcess


1.5.3 COMPLICATIONS
* If treatment is not timely and adequate rupture into chest
with bronchopleural fistula or empyema are common
complications.
* Rupture into the peritoneal cavity, pericardium and viscera
may occur, with haemobilia and pericardial tamponade.
* Secondary bacterial infection is ominous and metastic brain
abscess can occur.

1.5.4 TREATMENT (Liver disease)
Drugs that are both tissue and luminal amoebicides should be
used.
The best drug is metronidozole.
Indications for per-cutaneous aspiration are:
* Failure to respond to medial management within 5 days
* Large left lobe abscesses
* Impending rupture
* Severe toxamia
The only other indication for open surgical drainage is proven
BACTERIAL superinfection.

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