Amoebic liver abscess differential diagnosis: Difference between revisions
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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]], [[liver abscess|fungal liver abscess]], necrotic hepatoma, [[echinococcal cyst]] and [[hepatocellular carcinoma]]. | 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]], [[liver abscess|fungal liver abscess]], necrotic hepatoma, [[echinococcal cyst]] and [[hepatocellular carcinoma]]. | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Amoebic liver abscess must be differentiated from:<ref name="pmid9834333">{{cite journal| author=Lipsett PA, Huang CJ, Lillemoe KD, Cameron JL, Pitt HA| title=Fungal hepatic abscesses: Characterization and management. | journal=J Gastrointest Surg | year= 1997 | volume= 1 | issue= 1 | pages= 78-84 | pmid=9834333 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9834333 }} </ref> | |||
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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 | Aggravating/
relieving factors | ||||||||||||||
| Amoebic
liver abscess |
Entamoeba
histolytica |
✔✔ | ✔ | ✔/✘ | ✔
(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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- ↑ 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.