Amoebic liver abscess differential diagnosis: Difference between revisions
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! rowspan="3" |Disease | ! rowspan="3" |Disease | ||
! rowspan="3" |Causes | ! rowspan="3" |Causes | ||
! colspan=" | ! colspan="11" |symptoms | ||
! rowspan="3" |Lab Findings | ! rowspan="3" |Lab Findings | ||
! rowspan="3" |Imaging Findings | ! rowspan="3" |Imaging Findings | ||
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|- | |- | ||
! rowspan="2" | Fever | ! rowspan="2" | Fever | ||
! colspan=" | ! colspan="2" | Pain | ||
! rowspan="2" | cough | ! rowspan="2" | cough | ||
! rowspan="2" | Hepatomegaly | ! rowspan="2" | Hepatomegaly | ||
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! Abdominal pain | ! Abdominal pain | ||
! Pleuritic pain | ! Pleuritic pain | ||
|- | |- | ||
|Amoebic | |Amoebic | ||
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|Entamoeba | |Entamoeba | ||
histolytica | histolytica | ||
| | |✔✔✔ | ||
|✔ | |||
|✔ | |||
|✔ | |✔ | ||
|✔/✘ | |✔/✘ | ||
|✔ | |✔ | ||
(late stages) | (late stages) | ||
|✔ | |✔ | ||
| | (late stages) | ||
|✔ | |||
|✔ | |||
|✔ | |✔ | ||
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|✔ | |✔ | ||
|✔ | |✔ | ||
| | | | ||
|✔ | |✔ | ||
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|Fungal liver abscess | |Fungal liver abscess | ||
|Candida species | |Candida species | ||
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* Alcohol | * Alcohol | ||
* Oral contraceptive pills | * Oral contraceptive pills | ||
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|Echinococcal (hydatid) cyst | |Echinococcal (hydatid) cyst | ||
|Echinococcus granulosus | |Echinococcus granulosus | ||
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*Alpha 1 antitrypsin deficiency | *Alpha 1 antitrypsin deficiency | ||
*Non alcoholic fatty liver disease | *Non alcoholic fatty liver disease | ||
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Revision as of 18:31, 16 February 2017
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Amoebic liver abscess Microchapters |
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Diagnosis |
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Case Studies |
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Amoebic liver abscess differential diagnosis On the Web |
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American Roentgen Ray Society Images of Amoebic liver abscess differential diagnosis |
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Risk calculators and risk factors for Amoebic liver abscess differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]
Overview
Amoebic liver abscess must be differentiated from other diseases that cause fever, abdominal pain, cough, jaundice, hepatomegaly, anorexia, nausea, vomiting, and pale or dark stools such as pyogenic liver abscess, fungal liver abscess, necrotic hepatoma, echinococcal cyst and hepatocellular carcinoma.
Differential Diagnosis
Amoebic liver abscess must be differentiated from:[1]
| Disease | Causes | symptoms | Lab Findings | Imaging Findings | Other Findings | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Fever | Pain | cough | Hepatomegaly | Jaundice | Weight loss | Anorexia | Diarrhoea
or Dysentry |
Nausea and
vomiting |
Stool | ||||||
| Abdominal pain | Pleuritic pain | ||||||||||||||
| Amoebic
liver abscess |
Entamoeba
histolytica |
✔✔✔ | ✔ | ✔ | ✔ | ✔/✘ | ✔
(late stages) |
✔
(late stages) |
✔ | ✔ | ✔ | More ill appearing than pyogenic abscess
More fever than pyogenic Needle aspiration: Fluid from an ALA is odorless,reddish brown anchovy paste | |||
| Pyogenic liver abscess | Bacteria
|
✔ | ✔ | ✔ | ✔ | ✔ | ✔
(acute loss) |
✔ | ✔ | ✔ | Pale/dark | ||||
| Fungal liver abscess | Candida species | ||||||||||||||
| Necrotic hepatoma |
|
||||||||||||||
| Echinococcal (hydatid) cyst | Echinococcus granulosus | ||||||||||||||
| Malignancy
(Hepatocellular carcinoma/Metastasis) |
|
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References
- ↑ Lipsett PA, Huang CJ, Lillemoe KD, Cameron JL, Pitt HA (1997). "Fungal hepatic abscesses: Characterization and management". J Gastrointest Surg. 1 (1): 78–84. PMID 9834333.