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Abstract. VIASUS PEREZ, Diego F.; PINILLA, Análida E. and LOPEZ, Myriam C.. Immunology of the amebic liver abscess. Rev. salud pública [online]. , vol.6 . Ciencias Médicas. Enero-febrero, ; 19(1): Absceso hepático amebiano, presentación atípica. An atypical presentation of amoebic hepatic abscess. Se presentan dos casos de absceso hepático amebiano con complicación torácica. Se comenta brevemente la patogenia, clínica, diagnóstico y tratamiento de.

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Cochrane Database Syst Rev ; 21 1: Complicaciones toracicas en dos casos de absceso hepatico amebiano.

Thoracic complications in two cases of amebic abscess of the liver. Service yepatico Digestive Diseases. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Two cases of amebic abscess of the liver are described. Surgical treatment is performed if percutaneous drainage fails or complications arise.

PCR is considered the gold standard for immigrants coming from endemic areas and frequent travellers who carry antibodies against E. Abdominal ultrasonography and computed tomography showed a hypodense collection, 7,5 x 5 cm in diameter, in segment II of the left lobe of the liver, heterogeneous and with rim enhancement, protruding from the liver surface. In the case of amebic liver infection, the role of amebino immunity in protection has not been well established but it is important in seroidemiological studies and for diagnostic methods.

Treatment of parasitic infections of travelers and inmigrants.

Am J Med ; The radiological findings are those of a liver abscess and consist of a low density collection on CT or a hypoechogenic lesion on ultrasonography, with posterior acustic shadowing and inner echos that mobilize with postural changes. Amoebic abscesses were larger than 10 cm in diameter in 5 cases 4 single and 1 multipleand larger than 5 cm in a further 7 cases 5 single and 2 multiple.


Some of these cases have been the subject of prior reviews and communications 8,9. CT-guided percutaneous drainage was carried out in 6 cases 5 of them with abscess sizes exceeding 10 cmand surgery in 4 cases. Eleven out of thirteen lived in Guipuzcoa, one lived in Uruguay was on holiday in Guipuzcoaand another came from Japan but had been living in Guipuzcoa for the previous 6 months.

The treatment for ALA consists of the intraluminal and systemic administration of amoebacides as soon as possible. Thoracic complications of amebic abscess of the liver. An amoebic aetiology was demonstrated by serology antibody titre against E. Are you a health professional able to prescribe or dispense drugs? The sensitivity increases in the second to third week of the infection.

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Descriptive study of 39 cases of hepatic abscess hepatlco pyogenic and amebic origin. Departamento de Medicina Aparato Digestivo. The ALA is uncommon in developed countries like Spain in the absence of an epidemiologic history of exposure, such as travelling to endemic countries, contacting with immigrants from regions of endemicity, or belonging to a risk groups.

Subscribe to our Newsletter. Infect Med ; The amebic liver abscess is uncommon in developed countries like Spain, but the incidence is increasing probably due to the migratory movements of the population. Postgrad Med ; Los abscesos fueron a,ebiano en 25 casos. It causes foci of necrosis hepatido the liver parenchyma, most of the time leading into a single cavity. Diagnosis and management of amebiasis. A diagnosis of pyogenic abscess was initially entertained, due to the absence of epidemiologic risk factors and the negative serology for Entamoeba histolytica.


The Journal is published both in Spanish and English.

Surg Gynecol Obstr ; Currently, a very specific technique which can be used for the diagnosis of ALA as long as the subject has not been treated with amoebacides is the presence of adhesin Gal-GalNac in the serum Continuing navigation will be considered as acceptance of this use.

New concepts of amebic liver abscess derived from hepatic imaging, serodiagnosis and hepatic enzymes in 67 consecutive cases in San Diego. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. Tratado de Medicina Interna de Cecil-Loeb, 9.

The incidence of pyogenic liver abscess PLA ranges from 1. PHA often occurs in individuals over 50 years old amebianno a slight predominance in men 14, Predisposing conditions for pyogenic abscesses were: Abdominal contrast CT is the technique of choice for the diagnosis of liver abscesses.

This is probably what happened in our case, when the negative serology associated to the absence of epidemiologic risk factors misled to the diagnosis of pyogenic abscess, and subsequently, an early percutaneous drainage was performed.

Infection by hepatick parasite Entamoeba histolytica causes amebic dysentery and amebic liver abscess, diseases associated with a high morbidity and mortality.

Absceso hepático piógeno versus amebiano: Estudio clínico comparativo de una serie de 58 casos

How to cite this article. A comparative clinical study in a series of 58 patients. Antibiotic treatment without drainage is controversial.