Presenting a 28-year old male with a history of loose bowel movement, difficulty of breathing and pleural effusion. Initial CTT drainage showed anchovy sauce like material. A diagnosis of empyema thoracis was initially made HBT-UTZ done revealed a hypoechoic mass on right liver lobe consistent with abscess formation. IHA titers showed positive result at 1:1024 dilution. These findings are consistent with hepatopleural abscess secondary to amoebiasis.
Extraintestinal manifestation of amoebiasis most commonly involves the liver. Careful attention must be given to the history and physical examination; the use of laboratory studies correlated with the clinical manifestations will help in arriving at a definite diagnosis.
Department of Medicine, JRRMMC, May 2000
28-year old male