How to manage an amebic liver abscess despite treatment?

Question

Hello doctor,

I am a 52-year-old female. Two weeks back, I had severe abdominal pain and got a sonography done. I have been diagnosed with an amebic liver abscess. It was identified 13 days back, and I was admitted to the hospital for three days and was given saline and Metronidazole dosages, but I still have not recovered.

The doctor said it would take 15 to 20 days to recover, but even after ten days, there has been no change. My main symptoms are pain in the abdomen, frequent fever, loss of appetite, feeling weak, and dizzy. I am attaching the sonography details and prescription details. Kindly check and let me know your view on this.

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

If no improvement is present even after antibiotics, I would recommend a CT scan to confirm whether it is an abscess or something else. If a CT scan confirms that it is a liver abscess, then we would just put a sonographically guided needle in the abscess and drain out all the pus.

But I think a CT scan is required to confirm a liver abscess. It would be good if you could get back to the hospital and get a contrast CT scan of the abdomen and post the pictures.

I hope this helps.

Kindly revert in case of further queries.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

Antibiotics are right, but as the problem is not solved, we need to aspirate pus and also confirm that it is not a solid tumor or something through a CT scan. By aspiration, we can send the pus for culture to know exactly which antibiotic will work in this condition.

I hope this helps.

Kindly revert in case of further queries.

Thank you.