Ciencias Médicas. Enero-febrero, ; 19(1): Absceso hepático amebiano, presentación atípica. An atypical presentation of amoebic hepatic abscess. Request PDF on ResearchGate | On Dec 1, , P. Palacián Ruiz and others published Absceso hepático amebiano. El absceso hepático amebiano (AHA) es la manifestación extraintestinal más frecuente de la amebiasis. El AHA es resultado de la invasión de Entamoeba.

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There were also radiologic findings of chronic liver disease without portal hypertension Fig 1. Enferm Infecc Microbiol Clin ; Twenty-five patients had single abscesses. Medicine, 61pp.

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. To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.

The epidemiology in Spain is unknown.

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A percutaneous drainage was carried out on 6 patients. Two cases of amebic abscess of the liver are described. Most ALA respond to metronidazole therapy. Mean hospital stay was 18 days and two patients died. The ALA is most common in men and usually locates in the right lobe of the liver.



Amebic liver abscess with bacterial superinfection in a patient with no epidemiologic risk factors. Salto 1R.

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. Diagnosis and management of amebiasis. Parasitism by Entamoeba histolytica in developed countries occurs in specific population subgroups: The prevalence of infection by E. It usually inhabits the colon, where it can cause an asymptomatic infection amebiani it can become invasive and cause amebic colitis.

Mortality rates and mean hospital stay are shown in table IV. In 10 patients, diabetes was considered to be a predisposing condition. Thoracic complications in two cases of amebic abscess of the liver.

Antibiotic therapy was initiated with piperaciline-tazobactam and a percutaneous drainage was performed.

Its adequate understanding, together with the knowledge on the molecular biology and genetics of the parasite and of the host’s immune mechanisms will allow the development of new diagnostic and abeceso tools as well as the development of an effective and safe vaccine for eliminating the disease.

Are you a health professional able to prescribe or dispense drugs? The ALA is uncommon in developed countries like Spain in the absence of an epidemiologic history of exposure, such as travelling to endemic countries, contacting with immigrants from regions of endemicity, or belonging to a risk groups.

However, it represents one of the few series in our country 12 in which the clinical pictures of these two types of liver abscesses are compared.


Rev Esp Enferm Dig ; It would be convenient to design epidemiologic studies to know the real prevalence of amebiasis in Spain. The abdominal pain improved, but the patient remained with high temperature. The increase of the number of cases in the absence of epidemiologic risk factors in our country, as derived from the increasing number of cases lately reported, and zbsceso present case, lead to consider the existence of autochthonous cases.

On the other hand, subjects with ALA had an epidemiological history of travel or immigration. The amebic liver abscess is uncommon in developed countries like Spain, but the incidence is increasing probably due to the migratory movements of abxceso population. The aim of the treatment is to treat invasive liver infection and eradicate colonic colonization.

Changes in etiology, management and outcome. Some series of patients suffering from ALA have indicated a predilection for middle-aged men, and that it is less common at extreme ages Predisposing conditions for pyogenic abscesses were: Icterus is often associated with biliary pathology.