Parasitic
- Recommend E. histolytica serology and chest x-ray.
- Check for history of diarrhea.
- Often do not have high spiking fevers (unlike bacterial liver abscess).
Usual Pathogens
Entamoeba histolytica
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Metronidazole followed by | 500-750mg PO tid | 7-10 days |
| Paromomycin (to eradicate luminal cysts) | 25-35 mg/kg/day PO divided tid | 7 days |