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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The clinical history of patients with amoebic abscesses included: Estudio descriptivo de 35 casos. ALA is caused by the colonization of the liver by trophozoites of pathogenic strains of E.

Metronidazole is the drug of choice for the treatment of ALA and amebic colitis adult dosage of mg orally three times a day for days. In addition, predisposing diseases and the origin of abscesses for pyogenic abscesses 45 absssoand 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.

A comparative clinical study in a series of 58 patients. An amoebic aetiology was demonstrated by serology antibody titre against E.


Entamoeba histolytica ; liver abscess; amoebic; immunity humoral; cell-mediated immunity; vaccine. Ann Rev Med, 32pp. The micro-organisms isolated from the pyogenic abscesses were: 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.


A short review of the pathogenesis, clinical signs, diagnosis and management of the entity is included. All hepayico are sent to peer-review and handled by the Editor or an Associate Editor from the team. The amebic liver abscess ALA has a worldwide incidence of 50 cases per year 1.

Cochrane Database Syst Rev ; 21 1: 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.

Bujanda 1G. Gastroenterol Hepatol ; 9: Icterus is often associated with biliary pathology.

Other types of articles such as reviews, editorials, special articles, clinical reports, and letters to the Editor are also published in the Journal. CT-guided percutaneous drainage was carried out in 6 cases 5 of them with abscess sizes exceeding 10 cmand surgery in 4 cases.

Surgery is hepatlco when percutaneous treatment fails, ameibano there are absolute or relative contraindications for guided drainage, associated diseases secondary to hepatiico treatment, or abscesses with rupture or haemorrhage. There were single abscesses in 10 patients and all except one were located in the right lobe.

The case that we describe could be considered an autochthonous case of ALA, related to the increasing number of cases diagnosed in Spain. Infectious Clinics of North America ; Am J Med ; Rev Esp Enferm Dig ; CT-guided percutaneous drainage in association with adequate antibiotic coverage was used in 22 patients Table IV. 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.


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 heepatico postural changes.

Med Clin Bar ; There is no current evidence whether guided percutaneous drainage provides extra benefits compared to treatment with metronidazole alone in uncomplicated ALA cases The approximate incidence of amoebic liver abscess ALA in Guipuzcoa is of 0. Image-guided percutaneous procedure plus metronidazole versus metronidazole alone for uncomplicated amoebic liver abscess Review.

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Rev Clin Esp ; amebjano Amoebic versus pyogenic liver abscess. The absolute contraindications for guided drainage are when there is an indication for surgery because of an associated disease or significant coagulopathy.

The sensitivity increases in the second to third week of the infection. Trop Med Int Health ; 9:

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