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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March – April Pages En Harrison’s Principles of Internal Medicine.

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The abdominal pain improved, but the patient remained with high temperature. The amebic liver abscess ALA has a worldwide incidence of 50 cases per year 1. Li E, Stanley SL.

Hughes M, Petri W. Postgrad Med ; Infect Med ; N Engl J Med,pp. Hospital de la S.

Ojeda 2I. Rev Clin Esp ; However, both CT scans and echography may lead to false negatives in abscesses smaller than 1 cm in diameter, in those located near the diaphragmatic dome, and in those in early stages of development.


Hepatic lesions diagnosed by imaging techniques, but without positive cultures of the pus, were included after ruling out other diseases according to the clinical history.

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The absolute contraindications for guided drainage are when there is an indication for surgery because of an associated disease or significant coagulopathy.

Parasitism by Entamoeba histolytica in developed countries occurs in specific population subgroups: In developing countries like Vietnam, were infection by Hepaticp histolytica is endemic, the annual incidence of amebic liver abscess is 21 cases perhabitants.

Tratado de Medicina Interna de Cecil-Loeb, 9. The following variables were taken into account: PHA often occurs in individuals over 50 years old with a slight predominance in men 14, Mean hospital stay was 18 days and two patients died.

Little, Brown and Company,pp. Departments of 2 Internal Medicine, 3 Radiology, and 4 Microbiology. Manual of clinical problems in pulmonary medicine.

Its prevalence ambiano increased in recent years due to liver transplantation.

Evaluation of a new bicolores latex agglutination test for immunological diagnosis of hepatic amebiasis. 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.

Sometimes, the abscess only causes fever.

In our series, the clinical parameters suggesting pyogenic origin were: Diagnosis of amebic liver abscess and intestinal infection with the TechLab Entamoeba histolytica II antigen detection and antibody tests. In our series, heaptico diverse treatments are explained by the fact that patients were seen at different points over a long period 20 years.

Absceso hepático amebiano sobreinfectado sin antecedentes epidemiológicos

An early and accurate diagnosis avoids a higher morbi-mortality, as the treatment for ALA differs from that of the pyogenic abscess. In this study, liver abscess cases are reviewed retrospectively to establish the clinical differences between the pyogenic and amoebic aetiologies, thereby facilitating early treatment in these patients.


He denied having travelled abroad or any contact with immigrants from developing countries. Entamoeba histolytica is a protozoa that infects humans by fecal-oral contact. The possibility of ALA should be entertained even in the absence of history of exposure, and serology should be repeated in suspected cases with an initially negative result. Relative contraindications are ascites, very viscous purulent material, multiple small abscesses, and the risk of damaging vital structures, especially those in the left lobe.

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New concepts of amebic liver abscess derived from hepatic imaging, serodiagnosis and hepatic enzymes in 67 consecutive cases in San Diego. There were single abscesses in 10 patients and all except one were located in the right lobe. Servicio de Aparato Digestivo.