3rd August 2023

A 41-year-old man who returned from Laos 8 weeks ago is admitted to the acute medicine unit with a history of fevers

A 41-year-old man who returned from Laos 8 weeks ago is admitted to the acute medicine unit with a history of fevers, intermittent diarrhoea and right upper quadrant discomfort that has been increasing over recent weeks. His abdominal examination elicits right upper quadrant tenderness.

Blood tests are remarkable for mildly raised ALP, neutrophilia, and very elevated CRP. CXR shows an elevated right hemi-diaphragm with pleural effusion. US Liver finds a poorly demarcated hypoechoic lesion.

Given the most likely diagnosis, what is the most appropriate treatment?

Select the SINGLE most appropriate option from the list below. Select ONE option only.