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CASE REPORT article

Front. Med.

Sec. Infectious Diseases: Pathogenesis and Therapy

Volume 12 - 2025 | doi: 10.3389/fmed.2025.1620317

This article is part of the Research TopicAdvances in Intra-Abdominal InfectionView all 5 articles

Percutaneous Catheter Drainage in the Treatment of Amebic Liver Abscess with Syphilis Infections: A case study and literature review

Provisionally accepted
Ting-Teng  YangTing-Teng Yang1Han-Chuan  ChuangHan-Chuan Chuang1Wen-Chao  ChenWen-Chao Chen1Yu-Shan  HsiehYu-Shan Hsieh1,2*
  • 1Taipei Medical University Hospital, Taipei City, Taiwan
  • 2National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan

The final, formatted version of the article will be published soon.

Introduction: Amebic liver abscesses (ALA) result from Entamoeba histolytica, a protozoan parasite transmitted through contaminated food or water. Diagnosis relies on imaging and serology, and treatment typically involves antibiotics such as metronidazole.Case presentation: Herein, we present a case of a 47-year-old man who presented Hepatitis B virus and syphilis infections during admission. Lab tests and computed tomography scan revealed a liver abscess. Percutaneous catheter drainage (PCD) was done initiated on the day of admission. Positive amebiasis titers confirmed ALA. Although culture of purulent material from the abscess later showed no bacterial growth, ceftriaxone and metronidazole were kept empirically as well. The patient was discharged in stable clinical condition and the drainage tube was removed two weeks after discharge.Our case demonstrated a scenario in which continuous PCD was initiated with traditional medical treatment in risk group in ALA and PCD complication. The symptoms were successfully relieved, and he recovered well without any complications.

Keywords: Percutaneous catheter drainage, Liver abscesses, multiple infected, Syphilis, Amebic abscess

Received: 29 Apr 2025; Accepted: 21 Jul 2025.

Copyright: © 2025 Yang, Chuang, Chen and Hsieh. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Yu-Shan Hsieh, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan

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