El absceso hepático amebiano puede ser una enfermedad emergente en España a causa de la inmigración y los viajes a países endémicos. Su tratamiento. Ciencias Médicas. Enero-febrero, ; 19(1): Absceso hepático amebiano, presentación atípica. An atypical presentation of amoebic hepatic abscess. Hepatic abscesses, like abscesses elsewhere, are localised collections of necrotic inflammatory tissue caused by bacterial, parasitic or fungal agents.

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Cases and figures Imaging differential diagnosis.

Anorexia, malaise and weight loss are also frequently seen. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. The complications of ALA are: Rev Esp Enferm Dig ; Furthermore, the Journal is also present in Twitter and Facebook.

Absceso hepático amebiano sobreinfectado sin antecedentes epidemiológicos

There were also radiologic aimbiano of chronic liver disease without portal hypertension Fig 1. Surgery is limited to those patients where percutaneous drainage is impossible or has proven ineffective. Two cases of amebic abscess of the liver are described.

Most abscesses in this setting are polymicrobial, with the most common bacterial agents being Diagnosis and management of amebiasis. Loading Stack – 0 images remaining. 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 with postural changes.

As a general rule, bacterial and fungal abscesses are often multiple, whereas amoebic abscesses are more frequently single. March – April Pages Other types of articles such as reviews, editorials, special articles, clinical reports, and letters to the Editor are also published in the Journal.

An early and accurate diagnosis avoids a higher morbi-mortality, as the treatment for ALA differs from that of the pyogenic abscess.

Sonography in diagnosis and treatment. Previous article Next article. 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. Jain A, Kar P. 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.


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Simple hepatic cyst Simple hepatic cyst. Indirect signs visible include:. 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.

Full text is only aviable amibinao PDF. 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. The lack of findings consistent with pyogenic abscess abcseo gram staining and culture leads to the diagnosis of amebic abscess. Color Doppler will demonstrate the absence of central perfusion. You can change the settings or obtain more information by clicking here.

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. 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.

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There are small series of cases and isolated cases described in the literature 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 Gastroenterol Clin North Am ; Radiology has a major role to play in the percutaneous drainage of hepatic abscesses, which can be performed either under ultrasound or CT guidance. Evaluation of a new bicolores latex agglutination test for immunological diagnosis of hepatic amebiasis.


Gammagraphy with gallium reveal “cold” lesions with peripheral rim enhancement, unlike in the case of a pyogenic abscess that appear as a capturing lesion. Segmental, wedge-shaped or circumferential perfusion abnormalities, with early enhancement, may be seen 8, 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.

Hepatic abscess Dr Ammar Haouimi and A. Unable to process the form.

Absceso hepatico amebiano.

He was admitted to our hospital with a 5-day history of dull and continuous abdominal pain in epigastrium and mesogastrium, sweating, chills and a temperature of up to 39ordm;ordm; C. A short review of the pathogenesis, clinical signs, diagnosis and management of the entity is included.

The gas may be in the form of bubbles or air-fluid levels Treatment of parasitic infections of travelers and inmigrants. In developed countries, bacterial abscesses are most common, usually in the setting of comorbidities such as:. It usually inhabits the colon, where it can cause an asymptomatic infection or it can become invasive and cause amebic colitis. Cellular immunity is important for the control of infection and the development of protective immunity after an invasive infection.

The typical presentation is wbceso of right upper quadrant pain, fever and jaundice.

To quiz yourself on this article, log in to see multiple choice questions. Additionally, the source of the abscess may require surgical treatment at which time the abscess may also be drained. The diagnosis of ALA was confirmed after identifying motile forms of Abdeso histolytica in the liver aspirate, with negative culture for bacteria Fig.

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