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

A comparative clinical study in a series of 58 patients. The treatment of patients with PHA consisted of antibiotherapy, drainage and surgery. Sometimes, the abscess only causes fever. Indications for aspiration of liver abscesses are the need to rule out a pyogenic abscess; bacterial coinfection of ALA, large abscesses with a diameter of more than 5 cm, the prevention of rupture of left-lobe abscesses, the failure to respond clinically to drug therapy within 5 to 7 days and the threat of imminent rupture 2,15, Clinical characteristics depend on the pathogenic mechanism wmebiano.

Cochrane Database Syst Rev ; 21 1: Surgical treatment should he;atico reserved for instances of rupture of the abscess or coinfection that is not solved with medical treatment 2, Infect Med ; Li E, Stanley SL. New concepts of amebic liver abscess derived from hepatic imaging, serodiagnosis and hepatic enzymes in 67 consecutive cases in San Diego.

Absceso hepático piógeno versus amebiano: Estudio clínico comparativo de una serie de 58 casos

Estudio descriptivo de 35 casos. In developed countries such as the United States, it is unusual and is most commonly seen in amebisno from and travelers to developing countries 2.

An Med Interna Madrid ; He denied having travelled abroad or any contact with immigrants from developing countries. Differentiation of pyogenic from amebic hepatic abscess.


Los abscesos fueron solitarios en 25 casos. Departamento de Medicina Aparato Digestivo.

All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. A case of a HBsAg carrier with simultaneous amebic liver abscess has been reported in an area of endemicity for amebiasis and on the background of hepatitis E infection A comparison of amebic and pyogenic abscess of the liver.

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Twenty-five patients had single abscesses. Abdominal contrast CT is the technique of choice for the diagnosis of liver abscesses.

In addition, predisposing diseases and the origin of abscesses for pyogenic abscesses smebiano 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.

There was no need for a second percutaneous drainage. In the case of amebic liver infection, the role of humoral immunity in protection has not been well established but it is important in seroidemiological studies and for diagnostic methods.

A sample of the aspirate was cultured. 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.

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 blood tests in amoebic infections there is often a moderate increase of alkaline phosphatase; icterus is rare and, when abweso, moderate. Asymptomatic carrier of hepatitis B surface antigen HBsAgwith normal liver profile.

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. Translators working for the Journal are in charge of the corresponding translations.


In our series, such diverse treatments are explained by the fact that patients were seen at different points over a long period 20 years. Service of Digestive Diseases. Changes in etiology, management and outcome. A short review of the pathogenesis, clinical signs, diagnosis and management of the entity is included. Differences between groups were considered to be significant when p value was less than 0.

Benavente 2 1 Gastroenterology Department.

Inmunología del absceso hepático amebiano

A total of PHA has a variable occurrence in the population according to concomitant diseases. See more Access to any published article, in either language, is possible through the Journal web page as well as from Pubmed, Science Direct, and other international databases.

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. 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 and with rim enhancement, protruding from the liver surface.

Parasitism by Entamoeba histolytica in developed countries occurs in specific population subgroups: Medicine Baltimore ; 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 Ind J Gastroenterol ; En Harrison’s Principles of Internal Medicine.