Liver abscess due to entamoeba histolytica

Medium urgency
-Moderately severe

It is a build-up of pus in the liver, caused by an infection by an intestinal parasite called Entamoeba histolytica.

The parasite is contracted by drinking contaminated water or foods with traces of fecal matter.

It manifests as abdominal pain in the right upper quadrant, fever and general malaise.

Diagnosis is clinical and through clinical questioning and physical examination. Blood tests and imaging tests of the liver (ultrasound or CT scan) will be performed to confirm it.

It must be treated early with systemic antibiotics and antiparasitic drugs which act in the intestinal lumen.

Bibliographic references
  1. Karin Leder, Peter F Weller. Extraintestinal Entamoeba histolytica amebiasis. UpToDate, Jun 30, 2016.
  2. Haque R, Huston CD, Hughes M, et al. Amebiasis. N Engl J Med 2003; 348:1565.
  3. Stanley SL Jr. Amoebiasis. Lancet 2003; 361:1025.
  4. Pritt BS, Clark CG. Amebiasis. Mayo Clin Proc 2008; 83:1154.
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Fever / Feel very hot


    Intermittent high fever


    Upper right abdominal pain


    Localized abdominal pain


    Excessive sweating