Amoebic liver abscess history and symptoms

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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]

History

• History of recent travel to endemic areas.

Symptoms

Symptoms of amoebic liver abscess include:

• Moderate to severe abdominal pain (localized to right upper quadrant radiated to right shoulder or diffuse and pain is intense, continuous or stabbing)
• Malaise (uneasiness, or ill feeling)
• Loss of appetite
• Sweating
• Weight loss
• Epigastric pain (Commonly seen in left lobe abscesses)
• Fever (high fever with chills is suggestive of secondary bacterial infection)
• Anorexia
• Pleuritic chest pain
• Cough with or without expectoration
• Yellow discoloration of skin (Jaundice is seen in 1/3 of patients)
• Confusion (due to encephalopathy)
• Abdominal distension (due to ascites)
• Nausea and vomiting
• Diarrhea
• Constipation