Due to complications including sepsis, empyema, or peritonitis from rupture into the pleural or peritoneal regions, as well as retroperitoneal extension, an untreated hepatic abscess is almost always deadly. Surgery or percutaneous drainage should be a part of the treatment. Only burst liver abscesses, particularly those in the peritoneal cavity, can be treated surgically for hepatic abscess. When percutaneous drainage fails or is not an option, laparoscopy can be utilized to treat both unruptured and ruptured liver abscesses. Metronidazole should be used to treat amebic abscess. Prior to having access to the findings of the serologic test, metronidazole should be started. Chloroquine should be used either alone or in conjunction with emetine or dehydroemetine to patients who do not react to metronidazole.
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