One thing that I think we will see more and more of is hepatic amoebiasis. I had a case of this some years back in an illigal alien. He came in with what for the world looked like acute cholecystitis and when we got in he had amebic abcess of the liver with the anchovie paste abcess which is reported as characteristic of amoebic liver abcess. It was very interesting. He responded well to drainage and flagyl.
(I feel like I'm watching E.R.! LMBO!) ;o)
No I don't exactly remember the path. But I do remember he did not have gallstones but his DISIDA scan was abnormal. If I remember right I did not think his path report was definitive. That is also something that made me go HUMMMMM afterwards. But tularemia can invade the GB and the rest of the digestive system. I had him in the hospitial about 10 days and I had talked with the infectious dz specialist and I was treating him right. But he did not seem to be getting better and I decided to transfer him to her care. Boy was that a job. She did not directly admit so I had to find a general interest to admit and she (her majesty) would then be consulted . It took me another 48 hours to work the logistics out. But I saw him about 2.5 months later and heard the story of how I was right and he did get better.