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Abstract
It is imperative to distinguish between the amebic and pyogenic types of hepatic abscess. Diagnosis, treatment and prognosis differ in many respects.
The death rate for amebic abscess should approach zero with proper use of diagnostic and therapeutic measures now available. Emetine and chloroquine are specific both to combat and to help detect amebic abscess. Suspicion of pyogenic abscess of the liver should lead to early surgical exploration. Routine cultures and sensitivity studies would enable us to treat antecedent infections and the complications more specifically. Open surgical drainage is essential in discrete hepatic abscess.