Liver Abscess - Differential Diagnosis
Pyogenic:
• Hepatobiliary
• Colonic
• Bacteremia
Entamoeba histolytica:
• Fecal/oral
• Colitis non-current
• Stool O+P, PCR, serology
• Anchovy paste aspirate
• Metronidazole followed by paromomycin
Echinococcus:
• Intermediate host=sheep, definitive host=dogs
• South America (Peru), Asia, Africa
• Asymptomatic; anaphylaxis if rupture
• MRI, US, serology
• PAIR + albendazole
ID Chalk Talks by Dr. Darcy Wooten @Darcy_ID_doc
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