.

pyogenic

amebic

candidaTB

trauma

oM > F 7:1o40-50 million amoeba infections/year worldwideoAge ExtremesoEndemic Areas most susceptibleoCountry of origin or Travel• Pregnancy• Steroids• Cancer• Endemic area travel

(short or long term)

Bacterial Most common M > F 3:1 Risk factor:

• DM• Cancer• Liver Transplant

o Peritonitis To liver via portal circulation

o Direct Spreado Biliary infections

o Hematogenous Seedingo Bacteremia

o Sites: R lobe most commono Blood supply

:o Fecal-Oral transmission into GI Tract

To liver via portal circulationo Can also spread to other extraintestinal sites

o Hearto Braino Lungs

ANTIBIOTIC• Pyogenic: Gram Neg + Anaerobe cov.

• Penisilin• Combination : 1. ampisilin+aminoglikoside• +sefalosprin 3th2. Sefalosporin 3th+klindamisin3. Metronidazol48-72 jam perbaikan - kultur

• Perenteral 10-14 hari, 6 minggu oral

• Amoeba: Metronidazol, tinidazol• 50 mg/kgBB 10 hari

• Treated with drug and no clinical improvement occurs in 48 to 72 hour

• All large abscesses (especially those presenting as localised swellings or bulges of right lower thorax)

• Superficial abscess

• Abscesses causing severe pain or having marked tenderness or edema and abscess with mark elevation of the diafragma

early

• Impending perforation

• Cases with left lobe abscess

• Ruptuire into the pericardiac sac or peritoneal cavity

immediate