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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Little, Brown and Company,pp. Am J Med ; There is often leukocytosis and abnormal liver profile. In this study, liver abscess amebisno are reviewed retrospectively to establish the clinical differences between the pyogenic and amoebic aetiologies, thereby facilitating early treatment in these patients.

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Abscesses secondary to ascending cholangitis and of unknown origin are the most common. 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.

Antibiotic therapy without drainage was carried out in 10 patients one recurred and ameblano surgery due to biliary stenosis.

Rev Med Inter ; This procedure was successful in 18 full recovery Departamento de Medicina Aparato Digestivo. Relative contraindications are ascites, very viscous purulent material, multiple small abscesses, and the risk of damaging vital structures, especially those in the left lobe. Entamoeba histolytica is a protozoa that infects humans by fecal-oral contact. Li E, Stanley SL.


The risk of developing a pyogenic abscess in diabetic people and in those suffering from malignant tumours is tenfold higher than that of the general population; in patients who have undergone liver transplantation it is times higher 2. The micro-organisms isolated from the pyogenic abscesses were: Patients suffering with ALA were treated with metronidazole and paramomycin as a first choice.

Most ALA respond to metronidazole therapy. Two individuals did not have any history of exposure to endemic areas.

Tratado de Medicina Interna de Cecil-Loeb, 9. Gastroenterol Hepatol ; 9: A short review of the pathogenesis, clinical signs, diagnosis and management of the entity amebaino included.

Asymptomatic carrier of hepatitis B surface antigen HBsAgwith normal liver profile. Mortality rates and mean hospital stay are shown in table IV.

An amoebic aetiology was demonstrated by serology antibody titre against E. Ind J Gastroenterol ; The clinical history of patients with amoebic abscesses included: Previous article Next article. The ALA is uncommon in developed countries like Spain in the absence of an epidemiologic history of exposure, such amebjano travelling to endemic countries, contacting with immigrants from regions of endemicity, or belonging to a risk groups.

Inmunología del absceso hepático amebiano

Clinical characteristics depend on the pathogenic mechanism involved. Complicaciones toracicas en dos casos de absceso hepatico amebiano. The amebic liver abscess ALA has a worldwide incidence of 50 cases per year 1. After invasion into the intestinal mucosa, it can disseminate to other organs, predominantly the liver, leading to an amebic abscess.


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. In developing countries like Vietnam, were infection by Entamoeba histolytica is endemic, the annual incidence of amebic liver abscess is 21 cases perhabitants.

AJR,pp. Rev Esp Enferm Dig ; A comparative clinical study in a series of 58 patients. Molecular genetic techniques and new experimental models have increased the knowledge on the pathogenesis of amebiasis.

A comparison of amebic and pyogenic abscess of the liver. 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.

Continuing navigation will be considered as acceptance of this use. J Clin Amebiaho ; Med Clin Barc ; En Harrison’s Principles of Internal Medicine. Two cases of amebic abscess of the liver are described.

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