In this thesis, tropical liver abscess has been
discussed from clinical observations made on 110
cases treated between January 1938 and December 1946
inclusive, at the main Seychelles Government Hospital
situated on Mahé the principal island.
The archipelago comprises ninety -two islands.
These are dispersed over a wide area in the Indian
Ocean, the most distant from Mahe being 640 miles.
As sea- transport is sometimes difficult and irregular, the cases that have been admitted have arrived
in varying states. although most cases come from
different parts of Mahiand from islands within easy
reach of Mahe, the cases seen are generally very advanced. The reason for this is that the average inhabitant looks upon diarrhoea as a simple condition
and he consumes some astringent infusion of his own
native making till the diarrhoea ceases. Colic,
flatulence, and tenesmus fall into a similar category,
and various herbal native remedies are consumed till
these conditions disappear. None of these native
remedies seems to be amoebicidal for amoebic dysentery. Consequently liver abscess, in spite of these
remedies, is very common in these islands.
A summary of the history of the disease and its
relevant literature is given in the thesis. Discussions have been made fully on the etiology,epidemiology,
symptomatology, pathology, bac teriology, diagnosis
and differential diagnosis, prognosis, treatment and
mortality incidence. Conclusions have been drawn
from the investigations made. Cases have been quoted in the text of the thesis and contrasted with the
findings in the literature of the disease of past and
more recent years. Finally, references quoted have
been classified alphabetically, and an appendix has
been included of chart sheets of cases which have
been mentioned in the text.