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EFFECTIVE METHOD OF TREATING AMEBIC ABSCESS OF THE LIVER

HAROLD L. JOSLYN, M.D.
JAMA. 1936;107(26):2117-2119. doi:10.1001/jama.1936.02770520019006.
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This paper is prompted by the fact that, in spite of definite and very marked lessening of the mortality rate in cases of amebic abscess of the liver treated by aspiration, the idea is little known in most parts of the country except those where amebiasis is common, the literature revealing that many of these patients are still subjected to surgery.

Rogers1 in 1910 suggested the treatment of amebic abscesses by aspiration and reported several cases treated thus with good results. In 1920 Duckworth2 mentioned treatment by aspiration and irrigation but did not report any cases. Ludlow3 reported ten cases of amebic abscess treated by aspiration and emetine injections with no fatalities. Thurston4 reported sixty-four cases treated with emetine and aspiration with a mortality rate of less than 25 per cent.

There are many advantages to treatment by this method over surgery. In the first place,

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