[Infection or metastases? The amoebic abscess]. / Geïnfecteerd of gemetastaseerd?
Ned Tijdschr Geneeskd
; 1622018 Jul 20.
Article
en Nl
| MEDLINE
| ID: mdl-30182627
ABSTRACT
BACKGROUND:
Cases of Entamoeba histolytica infections in the Netherlands are usually imported diseases. The most common extra-intestinal manifestation of E. histolytica is the amoebic abscess. Patients can present with a clinical picture of colitis with pain in the upper right abdomen, accompanied by fever in cases of liver abscess. Diagnostics focus mainly on the detection of E. histolytica with PCR or ELISA. Infections are treated with metronidazole, with clioquinol as follow-up treatment. CASE DESCRIPTION A 61-year-old, previously healthy man was admitted to hospital with pain in the upper right abdomen and fever. He had no history of travel in the tropics or sub-tropics. CT imaging revealed liver abscesses or liver metastases. Cultures of abscess fluid were negative. After extensive diagnostics the patient was shown to have an amoebic abscess for which he was successfully treated.CONCLUSION:
If the bacterial cultures of liver abscess fluid continue to be negative the possibility of an amoebic abscess should be considered, even with a negative history of travel to the tropics or subtropics.
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Base de datos:
MEDLINE
Asunto principal:
Entamoeba histolytica
/
Absceso Hepático Amebiano
/
Neoplasias Hepáticas
Tipo de estudio:
Diagnostic_studies
Idioma:
Nl
Revista:
Ned Tijdschr Geneeskd
Año:
2018
Tipo del documento:
Article