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He was suffering from an amoebic abscess in the liver, making him very weak.
Liver infection, and subsequent amoebic abscesses can occur.
Amoebic abscesses of the liver produce brownish pus, which is described as looking like "anchovy paste".
Messner was cured of his amoebic abscess in the liver and then travelled to Gasherbrum II, but could not use the new routes as planned.
Liver abscess (pyogenic abscess and amoebic abscess)