A CASE OF AMEBIC LIVER ABSCESS THAT DISAPPEARED AT 17 MONTHS ON CT SCAN AFTER ONSET

Abstract

The patient was a 36-year-old man suffering from fever and right hypochondralgia. The white blood cell count was 25, 900/μl and CRP value was 21.9mg/dl. Abdominal ultrasound examination revealed a large abscess about 120 mm in diameter. Neither cyst nor trophozoite could be found in the stool or the liver pus from the drainage tube. He was homosexual and suspected to have amebic liver abscess. He was treated with metroindazole. Finally, the titer of antibody toEntamoeba histolyticawas 1: 6400 and we made a diagnosis of amebic liver abscess. The patient's condition improved, but the abscess cavity did not disappear until 17 months after onset on CT scan.