Amoebic liver abscess differential diagnosis: Difference between revisions
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==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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Revision as of 16:21, 16 February 2017
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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
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 | Dark color urine | Complete blood picture | Liver Function Tests | ESR | C-reactive protein | X Ray | USG | CT | MRI | Other Imaging Studies | |||
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) |
✔ | Diarrhoea | ✔ | Pale/dark | ✔ | ||||||||||
Fungal liver abscess | Candida species | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | Diarrhoea | ✔ | |||||||||||||
Necrotic hepatoma |
|
|||||||||||||||||||||
Echinococcal (hydatid) cyst | Echinococcus granulosus | |||||||||||||||||||||
Malignancy
(Hepatocellular carcinoma/Metastasis) |
|
- ↑ 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.