• Yasunori Inaba, Naoya Izawa, Mutsumi Ishikawa, Akira Yamamiya, Koki Hoshi, Takahiro Arisaka, Yuichi Majima, Keiichi Tominaga, Makoto Iijima, Kenichi Goda, and Atsushi Irisawa.
• Department of Gastroenterology, Dokkyo Medical University School of Medicine, Japan.
• Intern. Med. 2020 Dec 1; 59 (23): 3023-3026.

AbstractA man in his 60s visited a clinic with chief complaints of a fever and general malaise. Suspecting a liver abscess in the left lobe with infiltration into the subcutaneous fat tissue under the rectus abdominis muscle based on computed tomography findings, we performed fine-needle aspiration. An amoebic liver abscess was diagnosed. Remission was achieved by the oral administration of metronidazole alone without placement of a drainage tube. The results obtained in this case suggest that the first line of treatment should be a non-invasive approach with oral administration alone. Invasive intervention should then be considered depending on subsequent progress.

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