# Amebic liver abscess with bronchopleural fistula

## TL;DR

Amebic liver abscess with a bronchopleural fistula in a traveler was diagnosed quickly using PCR, avoiding unnecessary antibiotics.

## Contribution

Rapid diagnosis of amebic liver abscess using PCR on abscess fluid is highlighted as a novel approach for targeted treatment.

## Key findings

- PCR on abscess fluid enabled rapid diagnosis of amebic liver abscess.
- Targeted therapy was initiated within 24 hours, avoiding broad-spectrum antibiotics.

## Abstract

Amebic liver abscess with bronchopleural fistula caused by Entamoeba histolytica can mimic severe bacterial sepsis in a returning traveller. Rapid diagnosis via multiplex Polymerase Chain Reaction (PCR) on abscess fluid enabled targeted therapy within 24 h, avoiding unnecessary broad-spectrum antibiotics. Intestinal amebiasis should be considered in patients with compatible symptoms and relevant exposure.