Table 1 Differences between ALA and PLA
From: Entamoeba histolytica and amoebic liver abscess in northern Sri Lanka: a public health problem
Comparing amoebic liver abcess (ALA) and pyogenic liver abscess (PLA) | |
|---|---|
Amoebic liver abscess (ALA) | Pyogenic liver abscess (PLA) |
• Mainly monomicrobial with E. histolytica • Affects younger males in resource-limited settings [88] • Blood samples display no left-shift in white blood cells [88,89,90] • ALA more commonly affects males than females • Hyperbilirubinemia [91] • Clinical presentation pyrexia, right upper quadrant pain, hepatomegaly | • Polymicrobial with Klebsiella pneumoniae and Escherichia coli [92] • Affects older male and female patients with history of diabetes or cholelithiasis • Blood samples generally display elevated bilirubin with increased left-shift in white blood cells and hypoalbuminemia [88,89,90] • PLA also occurs in non-endemic settings more commonly and has no sex bias • Clinical presentation pyrexia, right upper quadrant pain, hepatomegaly |