An attempt was made to compare the
analysis of investigative
parameters to distinguish
Amoebic Liver Abscess (ALA) from
Pyogenic Liver Abscess (PLA). This study was carried out at Calcutta National Medical College &
Hospital, Kolkata 700014.
Patients were included with
signs and symptoms suggestive of
Liver Abscesses. The investigations of Serological, Hematological, Biochemical, Radiological and CT scan were done. Antimicrobial
Therapy, Image Guided Percutaneous Aspirations/
Drainage or Open surgical
Drainage was performed and checked in follow-up visits up to 3 months. The highest
incidences of
Liver Abscess (53.3%) were encountered in
alcoholic male.
Fever and
Abdominal Pain were common in both ALA and PLA.
Hepatomegaly was significantly high (p<0.05) in PLA (64.2%) than ALA (37.5%), but
jaundice was only noted in PLA (22.2%).
E coli, K
pneumonia and S aureus were confirmed in PLA.
Alkaline Phosphatase was significantly high (p<0.05) in PLA. Right sided
pleural effusion was noted in
Chest X-ray of 50% case . USG studies measured 70% Solitary
Abscesses with 5-10 cm in the Right Lobe. Partial resolution occurred in 28.6% of PLA and 31.2% of ALA. USG and
Serological Tests are recommended and
Conservative Management should be followed for ALA and invasive
treatment for PLA
patients