Entamoeba histolytica Cysts in Type I Amebic Liver Abscess in a Child

Background: Entamoeba histolytica cysts inside the liver on microscopic examination.Clinical description: We reported a case of type I amebic liver abscess (ALA) in a 3-year-old girl who presented with fever, bloody diarrhea, and right hypochondriac pain.Management and outcome: Ultrasonography (USG) and computer tomography (CT) scan revealed two collections, one in the right lobe and the second in the left lobe of the liver.Pigtail catheter drainage was done, and intravenous (IV) metronidazole was started.Serological tests for the detection of E. histolytica immunoglobulin G (IgG) antibodies were positive.Conclusion: Our case was unique in being found to be infected with cysts inside the liver on microscopic examination.