Abstract. VIASUS PEREZ, Diego F.; PINILLA, Análida E. and LOPEZ, Myriam C.. Immunology of the amebic liver abscess. Rev. salud pública [online]. , vol.6 . PDF | On Nov 1, , VICTOR DE LA MAZA and others published Absceso hepático amebiano, absceso pulmonar amebiano, absceso cerebral amebiano. 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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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, The amebic liver abscess ALA has a worldwide incidence of 50 cases per year 1.
Absceso hepático amebiano sobreinfectado sin antecedentes epidemiológicos
Entamoeba histolytica is a protozoa that infects humans by fecal-oral contact. Cellular immunity is important for the control of infection and the development of protective immunity after an invasive infection. It is a monthly Journal that publishes a total of 12 issues, which contain these types of aebiano to different extents.
After invasion into the intestinal mucosa, it can disseminate to other organs, predominantly the liver, leading to an amebic abscess.
Two cases of amebic abscess of the liver are described. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Complicaciones toracicas en dos casos de absceso hepatico amebiano. 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.
Therefore, the submission of manuscripts written in either Spanish or English is welcome. J Hepatol ; 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.
Inmunología del absceso hepático amebiano
Hospital de la S. This item has received. Treatment of parasitic infections of travelers and inmigrants. 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.
Subscribe to our Newsletter. The antibiotic regimen was changed to imipenem. Nevertheless, this technique lacks the specificity that was initially believed He denied having travelled abroad or any contact with immigrants from developing countries.
This therapeutic regimen should be followed by a luminar agent like paramomycin for a period of seven days 2. Diagnostic percutaneous aspiration is rarely needed. Med Clin ; Ann Intern Med, 93pp. He did not take any medication. The epidemiology in Spain is unknown.
A sample of the aspirate was cultured. Salto 1R. 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.
Infectious Clinics of North America ; It would be convenient to design epidemiologic studies to know the real prevalence of amebiasis in Spain. Treatment with metronidazole was initiated with disappearance of fever. Most ALA respond to metronidazole therapy. Manual of clinical problems in pulmonary medicine.
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The risk of rupture is higher in left-lobe abscesses, due to the smaller size of this lobe and the lack of space for a growing mass 2. The possibility of ALA should be entertained even in the absence of history of exposure, and serology should be repeated in suspected cases with an initially negative result.
Med Clin Barc ; In developing countries like Vietnam, were infection by Entamoeba histolytica is endemic, the annual incidence of amebic liver abscess is 21 cases perhabitants.
SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. On admission, the temperature was 39ordm; C, his abdomen was tender in the right upper quadrant, with voluntary guarding but negative Murphy and Blumberg signs. Gastroenterol Clin North Am ; The radiological findings are those of a liver abscess and consist of a low density collection on CT or a hypoechogenic lesion amebiwno ultrasonography, with posterior acustic shadowing and inner echos that mobilize with postural changes.
Little, Brown and Company,pp. It usually inhabits the colon, where it can cause an asymptomatic infection or it can become invasive and cause amebic colitis.