As a complication of intestinal amebiasis, hepatic abscess is the most distinct surgical disease of the tropics. It occurs usually in neglected, ulcerative dysenteries of young male adult Americans or Europeans, although amebic dysentery is very common and runs a milder course among Filipinos, Japanese and Eurasians. The Chinese are rarely found in our hospitals, and it is believed that their habit of tea drinking and eating cooked foods protects them, to a great extent, from tropical bowel diseases. Liver abscess is occasionally found in all these races, but the whites furnish over 90 per cent. of the cases.
Since American occupation, dysentery, its cause and its curability have become so generally understood, even among the laity, that often on the first appearance of bowel trouble a specimen of the stool is sent for examination, and when amebas are found patients submit to rational treatment until cured; and, as examination
McDILL JR. DYSENTERIC ABSCESS OF THE LIVER IN THE PHILIPPINE ISLANDS.. JAMA. 1907;XLIX(6):491–493. doi:10.1001/jama.1907.25320060041001i