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2015, Number 1

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Rev Ciencias Médicas 2015; 19 (1)

An atypical presentation of amoebic hepatic abscess

Crespo RE, Guanche GH, Ruz HM, Castañeda HM
Full text How to cite this article

Language: Spanish
References: 7
Page: 126-133
PDF size: 214.35 Kb.


Key words:

amoeba/parasitology, liver abscess.

ABSTRACT

Introduction: amoebic hepatic abscess is the extraintestinal manifestation of an infection by entamoeba histolytica. Estimations are made that 10% of the world population has been infected by the parasite, being more frequent in tropical regions, where overcrowding and bad sanitary conditions occur. Africa, Latin America, Southeast Asian and India have considerable health problems, resulting from this disease. In Cuba amebiasis has been proved not to be one of the most frequent parasitism cases.
Case presentation: male patient of age 48 years and of Indian nationality, presenting clinical findings, which proves a unique lesion in the right liver lobule, diagnosed by ultrasound scan and nuclear magnetic resonance. The presence is confirmed of serum antibodies against entamoeba histolytica. Treatment with metronidazole produced clinical and radiological improvement.
Conclusions: atypical clinical presentation constitutes a remarkable element worthy considered in daily clinical practice.


REFERENCES

  1. Sharma N, Sharma A, Varma S, Lal A, Singh V. Amoebic liver abscess in the medical emergency of a North Indian hospital. BMC Research Notes. 2010; 3:21.

  2. Mukhopadhyay M, Saha A K, Sarkar A, Mukherjee S. Amoebic liver abscess: presentation and complications. Indian J Surg. 2010; 72(1): 37-41.

  3. Albenmousa A, Sanai FM, Mohammed A, Babatin MA, Al Zanbagi AA, Al-Otaibi MM, Khan AH, Bzeizi KI. Liver abscess presentation and management in Saudi Arabia and the United Kingdom. Ann Saudi Med. 2011; 31(5): 528-532.

  4. Castellanos Fernández M, González López ME, Lazo de Vallín S, Mandado S, Cañete R, Elvirez Gutiérrez A. Absceso hepático amebiano, a propósito de dos casos. Rev Panamericana de Infectologia. 2005; 7(2):39-42.

  5. Haque R, Kabir M, Noor Z, Rahman SM, Mondal D, Alam F, Rahman I, Al Mahmood A, Ahmed N, Petri WA Jr. Diagnosis of amebic liver abscess and amebic colitis by detection of Entamoeba histolytica DNA in blood, urine, and saliva by real-time PCR assay. J Clin Microbiol. 2010; 48(8): 2798–2801.

  6. Gajardo MF, Flisfisch H. Absceso hepático. Rev Medicina y Humanidades. 2010; 2(2-3): 51-55.

  7. Gonzáles M LM, Dans LF, Martínez EG. Antiamoebic drugs for treating amoebic colitis. The Cochrane Library. 2009[cited january 2014]; 2.




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Rev Ciencias Médicas. 2015;19