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Right Upper Quadrant Pain in a World Explorer

Julia Hutchison, DO* and Nur-Ain Nadir, MD, MHPE*

*University of Illinois College of Medicine – Peoria, Department of Emergency Medicine, Peoria, IL

Correspondence should be addressed to Nur-Ain Nadir, MD, MHPE at nurainnadir@yahoo.com

DOI: https://doi.org/10.21980/J8QP9D Issue 4:4
Abdominal/GastroenterologyVisual EM
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ABSTRACT:

Although rare in the developed world, amebic infections are common worldwide and represent a challenging and often overlooked diagnosis. In this case, an amebic liver abscess was discovered in a 29-year-old male who presented to the emergency department (ED) complaining of right upper quadrant abdominal pain, weight loss, non-bilious/non-bloody vomiting, and diarrhea for three months. He recently traveled to India and Mexico. Point-of-care ultrasound discovered a liver mass and computed tomography (CT) confirmed the presence of a liver abscess. The case highlights the usefulness of ultrasound as an initial diagnostic tool, the importance of careful travel history in patients with suspected infectious diseases, and the initial provision of broad-spectrum coverage for bacterial and amebic pathogens for liver abscesses until the pathogen has been identified.

Topics:

Amebic liver abscess, bedside ultrasound, travel medicine, infectious disease

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Liver Abscess - Case Report

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Liver Abscess - Images

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CTIssue 4:4Ultrasound

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