Feature | Pyogenic abscess | Amoebic liver abscess |
---|---|---|
Sex bias | No | Males |
Typical age at presentation | Fifth to seventh decade of life | Third decade of life |
History of tropical travel | Uncommon | Almost universal |
Underlying hepatobiliary comorbidities | Very common | Uncommon |
Number of abscesses | Often small and multiple | Usually single; right lobe |
Hypoalbuminemia | Uncommon | Common |
Positive blood or aspirate bacterial cultures | Common | Rare |
Elevation of the right hemidiaphragm on chest x-ray | Uncommon | Common |
Amoebic serology | Negative | Positive in 90% within 2 weeks of symptom onset |