To the Editor.
—The case report by Kovaleski et al entitled "Treatment of an Amebic Liver Abscess With Intravenous Metronidazole," published in the Archives (1981;141:132-134), and accompanying editorial (p 20) pointed out the great advance provided by serologic tests in the diagnosis of invasive amebiasis. I saw a case in which these tests would have been extremely valuable.
Report of a Case.
—A 69-year-old man, a native of British Guyana, was seen initially with a history of fever and right upper quadrant pain. Sonogram and technetium Tc 99m sulfur colloid liver scan showed a 12-cm cystic area in the right lobe of the liver. The patient was treated with clindamycin phosphate, ampicillin sodium, and gentamicin sulfate for a presumed pyogenic liver abscess. A serum specimen was sent to the Centers for Disease Control (CDC), Atlanta, for amebic serologic study. After two weeks of therapy, the patient's condition had not improved,
Onorato IM. Invasive Amebiasis. Arch Intern Med. 1981;141(12):1724. doi:10.1001/archinte.1981.00340130162047