Name
AMOEBIC LIVER ABSCESS
DESCRIPTION
DETAIL
D.D. : - BILIARY DISEASE - CHOLECYSTITIS - HYDATID CYST - HEMANGIOMAS, HEPATIC - HEPATIC CARCINOMA, PRIMARY - HEPATIC CYSTS - HEPATOCELLULAR ADENOMA - LIVER ABSCESS, PYOGENIC - MALARIA - TYPHOID FEVER - ABDOMINAL SEPSIS* LFT - S. BILIRUBIN ONLY OCCASIONALLY INCREASED, SGPT & SGOT: RAISED * ROUTINE STOOL EXAM - FOR E. HISTOLYTICA CYSTA & TROPHOZITES * STOOL ANTIGEN DETECTION ( 96 - 100% SENSITIVE & 94 - 100% SPECIFIC ) - FACILITATES EARLY DIAGNOSIS BEFORE AN ANTIBODY RESPONSE OCCURS * SEROLOGICAL TESTING : - INDIRECT HAEMAGGLUTINATION TEST - POSITIVE IN 90-100% PTS INTERPRETATION REQUIRES RIGID CLINICAL & DIAGNOSTIC CORRELATION, ESPECIALLY IN ENDEMIC AREA. A CUT OFF VALUE OF 1:512 IS CONSIDERED DIAGNOSTIC - ENZYME IMMUNOASSAY - MORE SENSITIVE & SPECIFIC - SERUM ANTIGEN DETECTION - E. HISTOLYTICA GALACTOSE LECTIN ANTIGEN IS DETECTABLE BY ELISA IN ATLEAST 96% WITH REVERSAL RATE OF 86% AFTER 1 WEEK OF TREATMENT - TECHNETIUM-99M LIVER SCAN IS USEFUL FOR DIFFERENTIATING AMOEBIC LIVER ABSCESS FROM PYOGENIC ABSCESS
TYPENOTES
RELATED DISEASE
Not Available Disease
DISEASE
INVESTIGATION
STOOL ROUTINE, ULTRA SOUND WHOLE ABDOMEN - MALE, COMPLETE BLOOD COUNT, CT SCAN ABDOMEN, LIVER FUNCTION TEST