RESUMEN
Persistent fever and unspecific general symptoms need a complete and detailed medical history and search for infection. We report on a case of amebiasis with liver abscesses of a 26-year-old man. He had stayed several weeks in India and South America. After being free of complaints for 4 months, unspecific general symptoms and fever appeared. Due to proven liver abscesses, a combination treatment was given. Within 12 days, he was free of symptoms and could be discharged.
Asunto(s)
Entamoeba histolytica , Fiebre de Origen Desconocido/diagnóstico , Absceso Hepático Amebiano/diagnóstico , Absceso Hepático Amebiano/tratamiento farmacológico , Metronidazol/administración & dosificación , Paromomicina/administración & dosificación , Dolor Abdominal/diagnóstico , Dolor Abdominal/etiología , Dolor Abdominal/prevención & control , Adulto , Amebicidas/administración & dosificación , Ampicilina/administración & dosificación , Quimioterapia Combinada , Fiebre de Origen Desconocido/etiología , Fiebre de Origen Desconocido/prevención & control , Humanos , Masculino , Sulbactam/administración & dosificación , Viaje , Resultado del TratamientoRESUMEN
Persistent fever and unspecific general symptoms need a complete and thorough medical history and search for infection. We report on a case of brucellosis (Malta fever) with involvement of organs in a 19-year-old woman. She had previously lived on a farm in Portugal for several weeks, where she had consumed self-produced goat cheese. After a latency period of several months, unspecific general symptoms, fever, monarthritis, an increase of transaminases, and a newly diagnosed cardiac murmur became apparent. After the serologic and cultural proof of brucellosis, the patient underwent an antibiotic combination therapy. Within 20 days she was free of symptoms and could be released.