Multiple liver abscesses in a child

• 作者: Abiodun O. Johnson Rikin K. Shah Vinod K. Sethi Walter J. Bridges
• 来源期刊: 儿科学期刊(英文)
• 学科: 医学
• 关键词: Entameba HISTOLYTICA Ameba INFECTION AMEBIASIS ABSCESS
• 年，卷（期）: 2012,（4）
• 页码范围: 288-290
• 页数: 3页
• 分类号: R5

摘要

Entameba histolytica is a protozoan that usually causes procto-colitis. E. histolytica amebiasis is endemic in tropical countries but exceedingly rare in the US Amebic liver abscess commonly presents with fever, abdominal distension, right upper quadrant pain/tenderness, hepatomegaly, and tachycardia. We discuss the presentation/diagnosis of amebiasis in a child who had visited Mexico and the difficulty of early diagnosis when there is no evidence of intestinal infection. Ultrasonography and/or CT were essential diagnostic tools and an IgG antibody study confirmed the diagnosis. Management included oral metronida-zole and abscess drainage.