vol número11 Cáncer de páncreas: Tratamiento Úlceras ileales en . Absceso hepático amebiano de origen autóctono: presentación de un. Introducción: el absceso hepático amebiano es la manifestación extraintestinal tratamiento con metronidazol produce mejora clínica y radiológica. AMEBIASIS Y ABSCESO HEPÁTICO AMEBIANO GENERALIDADES TRATAMIENTO Establecer la especie. Tratar E. histolytica a pesar de.

Author: Dilkree Gujinn
Country: Tunisia
Language: English (Spanish)
Genre: Spiritual
Published (Last): 21 October 2004
Pages: 203
PDF File Size: 11.31 Mb
ePub File Size: 15.53 Mb
ISBN: 910-1-57622-622-7
Downloads: 5477
Price: Free* [*Free Regsitration Required]
Uploader: Zura

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 autochthonous cases. Patients suffering with ALA were treated with metronidazole and paramomycin as a first choice. The diagnosis of ALA was confirmed after identifying motile forms of Entamoeba histolytica in the liver aspirate, with negative culture for bacteria Fig. The microbiologic diagnosis is based on the detection of the parasite in the abscess aspirate, although this is an uncommon finding due to the necrotic nature of the abscess Antibiotic therapy was initiated with piperaciline-tazobactam and a percutaneous drainage was performed.

Abscesos amebianos de hígado: Tres años de experiencia

In the present case, the early determination, in the sixth day of the disease, could be the cause of the initial negative result. Servicio de Aparato Digestivo. He denied respiratory symptoms or changes in bowel habit.

Gastroenterol Hepatol ; In developed countries such as the United States, it is unusual and is most commonly seen in immigrants from and travelers to developing countries 2. The aim of the treatment is to treat invasive liver infection and eradicate colonic colonization. An Med Interna Madrid ; In 13 patients, where the drainage was not successful, surgery was undertaken. Nevertheless, there are no pathognomonic findings for ALA 2. 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.


CT-guided percutaneous drainage was carried out in 6 cases 5 of them with abscess sizes exceeding 10 cmand surgery in 4 cases.

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.

Cosme 1E. Surgery is performed when percutaneous treatment fails, or there are absolute or relative contraindications for guided drainage, associated diseases secondary to surgical treatment, or abscesses with rupture or haemorrhage. A sample of the aspirate was cultured.

Gastroenterol Clin North Am ; Parasitism by Entamoeba histolytica in developed countries occurs in specific population subgroups: Endoscopic biliary drainage in patients with amebic liver abscess and biliary communication. Medicine Madrid ; 8: Braz J Infect Dis ; 7: In blood tests in amoebic infections there is often a moderate increase of alkaline phosphatase; icterus is rare and, when present, moderate.

Some of these cases lacked history of exposure and tfatamiento 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.

There was a problem providing the content you requested

Diagnostic percutaneous aspiration is rarely needed. Serum tests are usually very helpful in the diagnosis of the disease.

Pyogenic liver abscess was defined as the observation of one or more ultrasound and CT images with positive cultures, or by positivity in two or more blood cultures of germs consistent with the diagnosis. In developing countries amfbiano Vietnam, were infection by Entamoeba histolytica is endemic, the annual incidence of amebic liver abscess is 21 cases perhabitants.

Amoebic versus pyogenic liver abscess. Bujanda 1G. Antibiotic treatment without drainage is controversial. Cir Esp ; He did not abscesoo any medication. Population-based study of the epidemiology of and the risk factors for pyogenic liver abscess.

In our series, such diverse treatments are explained by the fact that patients were seen at different points over a long period 20 years. Hospital Universitario 12 de Octubre. Amebic liver abscess -rare need for percutaneous treatment modalities.



It causes foci of necrosis in the liver parenchyma, most of the time leading into a single cavity. In Spain, during the last decade, there has been an increase in the number of autochthonous cases. An early and accurate diagnosis avoids a higher morbi-mortality, as the treatment for ALA differs from that of the pyogenic abscess.

A percutaneous drainage was carried out on 6 patients. Some of these cases have been the subject of prior reviews and communications 8,9. Rev Clin Esp ; Abscesses secondary to ascending cholangitis and of unknown origin are the most common.

Of the 13 cases of ALA 7 men and 6 women, with mean age of 42,9 years2 were locally acquired. Prevalencia de anticuerpos frente a Entamoeba histolytica en la zona norte de la provincia de Huelva. In addition, predisposing diseases and the origin of abscesses for pyogenic abscesses 45 casesand associated diseases, epidemiological history of travelling to areas with a high prevalence of amoebiasis, the origin of patients, and the time between having been to endemic areas and the occurrence of symptoms in amoebic cases 13 cases were analysed.

Gastroenterol Hepatol ; Rev Esp Enferm Dig ; There were single abscesses in 10 patients and all except one were located in the right lobe. Gastroenterol Hepatol ; 9: The abdominal pain improved, but the patient remained with high temperature. PLA occurs mainly in immunosuppressed and diabetic patients, and in individuals suffering from malignant neoplasia.

Back to top