Understanding the recurrence of amoebic liver abscess in South Bihar: a clinical case report

Authors

  • Binay Kumar Mahto Bhagwan Mahavir Institute of Medical Sciences, Pawapuri, Nalanda, Bihar, India
  • Sanjay Kumar Bhagwan Mahavir Institute of Medical Sciences, Pawapuri, Nalanda, Bihar, India
  • Sant Kumar Bhagwan Mahavir Institute of Medical Sciences, Pawapuri, Nalanda, Bihar, India
  • Rashmi Kumari Bhagwan Mahavir Institute of Medical Sciences, Pawapuri, Nalanda, Bihar, India
  • Shreya Nalanda Medical College Hospital, Patna, Bihar, India
  • Hotam Singh Kushwah Bhagwan Mahavir Institute of Medical Sciences, Pawapuri, Nalanda, Bihar, India
  • Ashish Kumar Bhagwan Mahavir Institute of Medical Sciences, Pawapuri, Nalanda, Bihar, India
  • Akshay Shamrao Tumram Bhagwan Mahavir Institute of Medical Sciences, Pawapuri, Nalanda, Bihar, India
  • Shashank Shekhar Bhagwan Mahavir Institute of Medical Sciences, Pawapuri, Nalanda, Bihar, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20250278

Keywords:

Amoebic liver abscess, Entamoeba histolytica, Recurrence, Luminal amebicide

Abstract

Amoebic liver abscess is a common disease condition in some parts of India, including Bihar, due to the higher prevalence of amoebiasis and habitual consumption of toddy (tari). Recurrence of amoebic liver abscess is not uncommon; although it is underreported with only a few previous reports. In this study, a patient from South Bihar presented with three subsequent episodes of amoebic liver abscess over a period of six years. Possible considerations for these recurrences have been explored, which revealed the fact that recommended full-dose treatment with metronidazole followed by a luminal amebicide agent to eradicate intestinal amoebic colonization is necessary for effective treatment of an amoebic liver abscess.

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Author Biographies

Binay Kumar Mahto, Bhagwan Mahavir Institute of Medical Sciences, Pawapuri, Nalanda, Bihar, India

Senior Resident, Department of Medicine 

Sanjay Kumar, Bhagwan Mahavir Institute of Medical Sciences, Pawapuri, Nalanda, Bihar, India

Assistant Professor, Department of Medicine 

Shreya, Nalanda Medical College Hospital, Patna, Bihar, India

Postgraduate Trainee, Department of Microbiology 

Hotam Singh Kushwah, Bhagwan Mahavir Institute of Medical Sciences, Pawapuri, Nalanda, Bihar, India

Postgraduate Trainee, Department of Medicine 

Ashish Kumar, Bhagwan Mahavir Institute of Medical Sciences, Pawapuri, Nalanda, Bihar, India

Postgraduate Trainee, Department of Medicine 

Akshay Shamrao Tumram, Bhagwan Mahavir Institute of Medical Sciences, Pawapuri, Nalanda, Bihar, India

Postgraduate Trainee, Department of Medicine 

Shashank Shekhar , Bhagwan Mahavir Institute of Medical Sciences, Pawapuri, Nalanda, Bihar, India

Postgraduate Trainee, Department of Medicine 

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Published

2025-01-30

How to Cite

Mahto, B. K., Kumar, S., Kumar, S., Kumari, R., Shreya, Kushwah, H. S., Kumar, A., Tumram, A. S., & Shekhar , S. (2025). Understanding the recurrence of amoebic liver abscess in South Bihar: a clinical case report. International Journal of Research in Medical Sciences, 13(2), 897–901. https://doi.org/10.18203/2320-6012.ijrms20250278

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Case Reports