Liver Abscess, Amoebic
Description General measures Medicine treatment ICD-10 code: A06.4 DESCRIPTION Focal hepatic infection due to E. histolytica . Only about a third of cases have concomitant amoebic colitis. Diagnosis can be excluded if the serological test is negative. It is essential to exclude pyogenic infection (a diagnostic aspirate should be taken under ultrasound guidance in all cases where there is do
ICD-10 code: A06.4
DESCRIPTION
Focal hepatic infection due to E. histolytica. Only about a third of cases have concomitant amoebic colitis. Diagnosis can be excluded if the serological test is negative. It is essential to exclude pyogenic infection (a diagnostic aspirate should be taken under ultrasound guidance in all cases where there is doubt).
GENERAL MEASURES
Drainage is recommended for abscesses that are large (i.e. >10 cm diameter), involve the left lobe, or are near the surface of the liver. Drainage can be achieved by percutaneous aspiration under ultrasound guidance.
MEDICINE TREATMENT
• Metronidazole, oral, 800 mg 8 hourly for 10 days.
Standard Treatment Guidelines And Essential Medicines List For South Africa, Adult Hospital level, 2020-4_Version 1_July 2024
Chapter 1: Alimentary tract; 1.2 Hepatic Disorders; 1.2.6 Liver Abscess, Amoebic