Anchovy sauce pus is a feature of

Amoebic liver abscess Entamoeba histolytica is endemic in many pas of the world. It exists in vegetative form outside the body and is spread by the faecal-oral route. The most common presentation is with dysentery, but it may also present with an amoebic abscess, the common sites being paracaecal and in the liver. The amoebic cyst is ingested and develops into the trophozoite form in the colon, and then passes through the bowel wall and to the liver the poal blood. Diagnosis is by isolation of the parasite from the liver lesion or the stool and confirming its nature by microscopy. Often patients with clinical signs of an amoebic abscess will be treated empirically with metronidazole (400- 800mg t.d.s. for 7-10 days) and investigated fuher only if they do not respond. Resolution of the abscess can be monitired using ultrasound. Ref: Bailey and love 27th edition Pg no : 1169