International Journal of Health Sciences and Research

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Case Report

Year: 2018 | Month: July | Volume: 8 | Issue: 7 | Pages: 377-379

Pyrexia of Unknown Origin and Rapidly Increased Right-Sided Empyema Diagnosed As Ruptured Amoebic Liver Abscess

Umakanth M

Senior Lecturer in Medicine, Department of Clinical Sciences, Faculty of Health Care Sciences, Eastern University, Sri Lanka.


Amoebic liver abscess occurs worldwide, it is estimated that roughly 40 to 50 million people develop colitis or extraintestinal disease annually with 40,000 deaths. It is measured the third most common parasitic infection worldwide with around 500 million infections per year and a leading cause of parasite- related mortality with over 100,000 deaths annually. In most cases the infections are asymptomatic, however extraintestinal invasion in the form of liver abscess causing abdominal pain and fever. We reported case with pyrexia of unknown origin with right sided chest pain with progressive chest radiographic changes. Ultimately, we diagnosed as ruptured amoebic liver abscess. The lungs are the second most common site of extraintestinal infection, with pleural invasion accounting for 2-3% of patients with invasive disease.

Key words: Amoebic liver abscess, Amoebiasis, Entamoeba histolytica .

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