El absceso hepático amebiano puede ser una enfermedad emergente en España a causa de la inmigración y los viajes a países endémicos. Su tratamiento. Ciencias Médicas. Enero-febrero, ; 19(1): Absceso hepático amebiano, presentación atípica. An atypical presentation of amoebic hepatic abscess. Hepatic abscesses, like abscesses elsewhere, are localised collections of necrotic inflammatory tissue caused by bacterial, parasitic or fungal agents.
|Published (Last):||24 December 2017|
|PDF File Size:||6.60 Mb|
|ePub File Size:||1.11 Mb|
|Price:||Free* [*Free Regsitration Required]|
This therapeutic regimen should be followed by a luminar agent like paramomycin for a period of seven days 2. Most ALA respond to metronidazole therapy. Hughes M, Petri W. It usually inhabits the colon, where it can cause an asymptomatic infection or it can become invasive and cause amebic colitis. The ” aceso sign ” is a feature of pyogenic hepatic abscesses Treatment of parasitic infections of travelers and inmigrants. To quiz yourself on this article, log in to see multiple choice questions.
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.
It would be convenient to design epidemiologic studies to know the real prevalence of amebiasis in Spain. A plain abdominal radiograph is not sensitive for evaluating liver abscesses.
A short review of the pathogenesis, clinical signs, diagnosis and management of the entity is included.
Molecular genetic techniques and new experimental models have increased the knowledge on the pathogenesis of amebiasis. Case 19 Case J Clin Microbiol ; When the infection spreads to the liver through the portal anceso it arises more commonly in the right lobe, probably due to an unequal distribution of superior and inferior mesenteric vein contents within the portal venous distribution. The patient remained hepstico for 48 hours with subsequent recurrence of the high temperature.
The percutaneous aspiration and drainage of ALA is controversial. He did not take any medication.
On admission, the temperature was 39ordm; C, his abdomen was tender in the right upper quadrant, with voluntary guarding but negative Murphy and Blumberg signs. This is probably what happened in our case, when the negative serology associated to the absence of epidemiologic risk factors misled to ambiiano diagnosis of pyogenic abscess, and subsequently, an early percutaneous drainage was performed.
There is often leukocytosis and abnormal liver profile. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years.
Two cases of amebic abscess of the liver are described. Hospital Universitario 12 de Octubre. Some of these cases lacked history of exposure and happened in groups at risk or were considered autochthonous, as the case that we report, that developed on the background of hepatitis B surface antigen HBsAg carrier, with no other factors associated. Continuing navigation will be considered as acceptance of this use.
He was admitted to our hospital with a 5-day history of dull and continuous abdominal pain in epigastrium and mesogastrium, sweating, chills and a temperature of up to 39ordm;ordm; C. Chest, 79pp. AJR,pp.
Most abscesses in this setting are polymicrobial, with the most common bacterial agents being Unable to process the form. The risk of rupture is higher in left-lobe abscesses, due to the smaller size of this lobe and the lack of space for a growing mass 2.
There was a problem providing the content you requested
The lack of findings consistent with pyogenic abscess negative gram staining and culture leads to the diagnosis of amebic abscess. The treatment of pleuropulmonary amebiasis with metronidazole. How to cite this article. Cases and figures Imaging differential diagnosis.
Absceso hepatico amebiano.
The increase of amibjano number of cases in the absence of epidemiologic risk factors in our country, as derived from the increasing number of cases lately reported, and the present case, lead to consider the existence of autochthonous cases. Furthermore, the Journal is also present in Twitter and Facebook. Enfermedades infecciosas de los pulmones. This item has received.
Manuscripts will be submitted electronically using the following web site: Gas bubbles may also be seen 7.
Hospital de la S. The ” double target sign ” is a characteristic imaging feature of hepatic abscess demonstrated on contrast-enhanced CT scans, in which a central low attenuation lesion fluid filled is surrounded by a high attenuation inner rim and a low attenuation outer ring 10, Amebic liver abscess with bacterial superinfection in a patient with no epidemiologic risk factors.
Thoracic complications in two cases of amebic abscess of the liver. March – April Pages Articles Cases Courses Quiz. Prognosis is highly variable, depending not only on the organism involved and size of the abscess but also the co-morbidities present. We report a case of an amebic abscess, initially unsuspected due to the absence of epidemiologic risk factors and the negative serology for amebiasis, in the early stages of the disease.
Current concepts in parasitology: Liver abscesses are typically poorly demarcated with a variable appearance, ranging from predominantly hypoechoic with some internal echoes to hyperechoic.
Piperaciline-tazobactam was added, with resolution of fever and marked improvement in the patientacute;s condition. Are you a health professional able to prescribe or dispense drugs? In developed countries, bacterial abscesses are most common, usually in the setting of comorbidities such as:.