Amebic liver abscess in a homosexual man

Area of Science:

• Hepatology
• Infectious Diseases
• Clinical Case Reports

Background:

• Amebiasis, caused by Entamoeba histolytica, is a significant parasitic infection.
• Liver abscess is a common extraintestinal manifestation of amebiasis.
• Awareness of amebic liver abscess is crucial, particularly within specific demographic groups.

Observation:

• A 36-year-old homosexual man presented with abdominal pain suggestive of appendicitis.
• Exploratory surgery revealed an amebic liver abscess in the right lobe.
• The abscess was successfully evacuated and drained.

Findings:

• Serum analysis confirmed high antibody titers to Entamoeba histolytica.
• Metronidazole therapy was initiated post-operatively.
• The patient experienced an uneventful recovery.

Implications:

• Healthcare providers need to recognize amebiasis transmission, diagnosis, and management, including surgical indications for amebic liver abscess.
• While amebiasis is epidemic in the gay community, amebic liver abscess may be less frequent in this population compared to others.
• This case underscores the importance of considering amebic liver abscess in the differential diagnosis of abdominal pain in at-risk individuals.