⟩ A 42-year old patient from Ecuador is admitted with fever, right upper abdominal pain and is found to have a cystic mass of the liver. You suspect an amebic abscess and order stool exams that are reported as positive for E. histolytica and an ameba serology is positive at 1256. Which statement is false regarding ameba?
* A. He should be treated with two medications. One to kill the active trophozoites and a second to kill the cysts.
* B. Transmission is by fecal-oral means
* C. Amebic liver abscess can usually be treated with medication and do not need to be drained
* D. Transmission to a new person is generally done by the more resistant cyst form of the life cycle
* E. Aspirate from liver cysts can be used to make the diagnosis because they are loaded with white blood cells and E. histolytica cysts
Correct Answer: E
