Its an extremely common observation that hepatic amoebiasis is extremely common among nothern Sri Lankan population who drink toddy (Palmyrah palm wine). Its also noted the hygiene of taverns that sell toddy are also equally poor.
.....invasive amebiasis is much more common in adult males than in females. In particular, amebic liver abscess is 7-12 times more common in men than in women, with a predominance among men aged 18-50 years. The reason for this disparity is unknown, though hormonal effects may be implicated, as the prevalence of amebic liver abscess is also increased among postmenopausal women. Alcohol may also be an important risk factor. http://misc.medscape.com/pi/iphone/medscapeapp/html/A212029-business.html
Thats really an interesting note about gender and amoebic abscess. Somehow should look for an explanation for the influence of alcohol on amoeba.
Interesting - toddy being source and predisposing factor for hepatic amoebiasis!
in our observation, amoebic liver abscess is more prevalent in toddy drinkers. In our unit nearly 85 % are toddy drinker. More complicated course noted in toddy drinkers.
Please take a look at the following RG links.
Article Amoebic Liver Abscess and Indigenous Alcoholic Beverages in ...
Article Epidemiology and factors associated with amoebic liver absce...
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