Abstract
BackgroundAmebic liver abscess is a rare disease in high-income countries. Recurrence of amebic liver abscess is even rarer with only a few previous reports. Here we present a patient who developed three subsequent amebic liver abscesses over a sixteen-year period.Case presentationA Caucasian male developed recurrent amebic liver abscesses, when aged 23, 27 and 39 years. Only on the first occasion did this coincide with a recent visit to the tropics. The patient received adequate treatment during each episode. Possible explanations are persistent asymptomatic carrier state, cysts passage in his family, re-infection or chance.ConclusionWe describe the unusual case of a healthy male who developed recurrent amebic liver abscesses over a long period despite adequate treatment. Possible pathophysiological explanations are explored.
Highlights
ConclusionWe describe the unusual case of a healthy male who developed recurrent amebic liver abscesses over a long period despite adequate treatment
Amebic liver abscess is a rare disease in high-income countries
We describe the unusual case of a healthy male who developed recurrent amebic liver abscesses over a long period despite adequate treatment
Summary
We present the unusual case of a healthy Dutch male with recurrent amebic liver abscesses on three separate occasions over a period of 16 years despite adequate treatment. Authors’ contributions DC- conceived the case report, wrote the initial manuscript and performed literature review. PW was responsible for the patient’s management episode 3, contributed to the acquisition of data and made critical revision of the manuscript. LV was responsible for the patient’s management episode 1, contributed to the acquisition of data and made critical revision of the manu‐ script. JH contributed to the acquisition of data and made critical revision of the manuscript. PG made critical revision of the manuscript. Author details 1 Institute for Tropical Diseases, Harbour Hospital, Rotterdam, The Netherlands. Department of Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands. Department of Medical Microbiology and Infectious Diseases, Erasmus University Medical Center and Institute for Tropical Diseases, Rotterdam Harbour Hospital, MC, Room Na‐901K
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