Liver abscess (LA) is a significant health concern worldwide, particularly in tropical regions such as India, and is usually pyogenic or amoebic in origin. In rare cases it can be caused by parasites. We present two children with difficult-to-treat LAs, revealing underlying parasitic infections as the causative agents, implicated by eosinophilia, elevated immunoglobulin-E levels and exposure to domestic animals. In the first case, disseminated echinococcosis was diagnosed through imaging, serology and histopathology. The second case showed a relationship between LAs and Toxocara infection, evidenced by microscopic stool examination of a household cat.

中文翻译：

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儿童肝脓肿难以治疗——不要忘记寄生虫感染

肝脓肿 (LA) 是世界范围内的一个重大健康问题，特别是在印度等热带地区，通常起源于化脓性或阿米巴病。在极少数情况下，它可能是由寄生虫引起的。我们介绍了两名患有难以治疗的 LA 的儿童，揭示了潜在的寄生虫感染是致病因素，与嗜酸性粒细胞增多、免疫球蛋白 E 水平升高和接触家畜有关。在第一个病例中，通过影像学、血清学和组织病理学诊断为播散性包虫病。第二个病例显示了 LA 与弓蛔虫感染之间的关系，通过对家猫的粪便显微镜检查证明了这一点。