title: Fatal case of amoebic liver abscess in a child.
abstract: We reported a case of amoebic liver abscess (ALA) in a 6-year-old Malaysian boy who presented with fever, lethargy, diarrhoea and right hypochondriac pain. On admission he was diagnosed with perforated acute appendicitis and a laparotomy was done. After surgery he developed acute respiratory distress. Ultrasonography, chest X-Ray and CT scan revealed two ALAs in the posterior segment of right lobe of liver, pleural effusion and collapsed consolidation of lungs bilaterally. Percutaneous liver abscesses drainage was done and intravenous Metronidazole was started. PCR carried out on the pus from the abscess was positive for Entamoeba histolytica. Patient however succumbed to the infection one week after admission.
authors.affiliation: Department of Pediatric, Tuanku Jaafar Hospital, 70300, Seremban, Negeri Sembilan, Malaysia.
authors.forename: Khuen Foong
authors.initials: KF
authors.lastname: Ng
authors.affiliation: Department of Pediatric, Tuanku Jaafar Hospital, 70300, Seremban, Negeri Sembilan, Malaysia.
authors.forename: Kah Kee
authors.initials: KK
authors.lastname: Tan
authors.affiliation: Department of Parasitology, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.
authors.forename: Romano
authors.initials: R
authors.lastname: Ngui
authors.affiliation: Department of Parasitology, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.
authors.forename: Yvonne Al
authors.initials: YA
authors.lastname: Lim
authors.affiliation: Department of Parasitology, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.
authors.forename: Amirah
authors.initials: A
authors.lastname: Amir
authors.affiliation: Department of Parasitology, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.
authors.forename: Yamuna
authors.initials: Y
authors.lastname: Rajoo
authors.affiliation: Department of Medical Microbiology, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.
authors.forename: Hamimah
authors.initials: H
authors.lastname: Hassan
authors.affiliation: Department of Parasitology, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia. Electronic address: rohela@ummc.edu.my.
authors.forename: Rohela
authors.initials: R
authors.lastname: Mahmud
keywords: Amoebic liver abscess; Children; Entamoeba histolytica