Background: Amebic 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 presentation: A 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. Conclusion: We 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.

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BMC Research Notes
Department of Medical Microbiology and Infectious Diseases

Creemers-Schild, D., van Genderen, P., Visser, L., van Hellemond, J., & Wismans, P. (2016). Recurrent amebic liver abscesses over a 16-year period: A case report. BMC Research Notes, 9(1). doi:10.1186/s13104-016-2275-0