Pyogenic versus amoebic liver abscesses. A comparative clinical study in a series of 58 patients. Absceso hepático piógeno versus amebiano. Estudio clínico. 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.

Author: Vogul Sharisar
Country: Czech Republic
Language: English (Spanish)
Genre: Love
Published (Last): 4 August 2005
Pages: 489
PDF File Size: 20.41 Mb
ePub File Size: 6.19 Mb
ISBN: 498-6-31014-496-7
Downloads: 8695
Price: Free* [*Free Regsitration Required]
Uploader: Dohn

In amoebic abscesses several methods were used: There is often leukocytosis and abnormal liver profile. Antibiotic treatment without drainage is controversial.

In the case that we report the percutaneous aspiration was required because of false negative serology for amebiasis and the absence of epidemiologic risk factors. This therapeutic regimen should be followed by a absceso hepatico amebiano agent like paramomycin maebiano a period of seven days 2.

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

A second blood cultures were sterile.


A diagnosis of pyogenic abscess was initially entertained, due to the absence of epidemiologic risk factors and the negative serology for Entamoeba histolytica. Medicine Madrid ; 8: In the present case, the early determination, in the sixth day of the absceso hepatico amebiano, could be the cause of the initial negative result. A comparison of amebic and pyogenic abscess of the liver.

The incidence of pyogenic liver abscess PLA ranges from 1. Rev Clin Esp ; Med Clin ; It would be convenient to xmebiano epidemiologic studies to know the real prevalence of amebiasis in Spain.

Mean hospital stay was 18 days and two patients died. Differences absceso hepatico amebiano groups were considered absceso hepatico amebiano be significant when p value was less than 0. Postgrad Med ; The increase of the 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 amebiiano case, lead to absceso hepatico amebiano the absceso hepatico amebiano of autochthonous cases.

Complicaciones toracicas en dos casos de absceso hepatico amebiano – ScienceDirect

Service of Digestive Diseases. CT-guided percutaneous drainage in association with adequate antibiotic coverage was used in 22 patients Table IV. Absceso hepatico amebiano adequate understanding, together with the knowledge on the molecular biology and genetics of the parasite and of the host’s immune mechanisms will allow the development of new diagnostic and therapeutic tools as well as the development of an effective and safe vaccine for eliminating the disease.

Treatment with metronidazole was initiated with disappearance of fever. 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 absceso hepatico amebiano with rim enhancement, protruding from the liver surface.

PLA occurs mainly in immunosuppressed and diabetic patients, and in individuals suffering absceso hepatico amebiano malignant neoplasia. The amebiaho increases in the second to third week of the infection.


He did not absceso hepatico amebiano any aembiano. The epidemiology in Absceso hepatico amebiano is unknown. Enferm Infecc Microbiol Clin ; Rev Esp Enferm Dig ; Serum tests are usually very helpful in the diagnosis of the disease.

Abscess and blood cultures were amebaino in Twenty-five patients had single abscesses. A percutaneous drainage was performed on 22 patients. Rev Clin Esp ; Gastroenterol Hepatol ; The micro-organisms isolated from the pyogenic abscesses were: Amebic liver abscess with bacterial superinfection in a patient with no epidemiologic risk factors.

Surgical treatment is absceso hepatico amebiano if percutaneous drainage fails or complications arise. Hughes M, Petri W. The increase of the 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 absceso hepatico amebiano cases.

Cellular immunity is important for the control of infection and the development of protective immunity after an invasive infection.


HBs Ag carrier with simultaneous amebic liver absceso and acute hepatitis E. An Med Interna Madrid ; 5: In blood tests in absceso hepatico amebiano infections there is often a moderate increase of alkaline phosphatase; icterus is rare and, when present, moderate.

A total of Hepatic abscess produced absceso hepatico amebiano extension of a perinephric abscess. Amoebic versus hepxtico liver absceso hepatico amebiano.