First case of amebic liver abscess 22 years after the first occurrence

被引:14
作者
Nespola, Benoit [1 ]
Betz, Valerie [2 ]
Brunet, Julie [1 ,3 ]
Gagnard, Jean-Charles [4 ]
Krummel, Yves [5 ]
Hansmann, Yves [4 ]
Hannedouche, Thierry [2 ]
Christmann, Daniel [4 ]
Pfaff, Alexander W. [1 ,3 ]
Filisetti, Denis [1 ,3 ]
Pesson, Bernard [1 ]
Abou-Bacar, Ahmed [1 ,3 ]
Candolfi, Ermanno [1 ,3 ]
机构
[1] Hop Univ Strasbourg, Lab Parasitol & Mycol Med, F-67091 Strasbourg, France
[2] Hop Univ Strasbourg, Serv Nephrol & Hemodialyse, F-67091 Strasbourg, France
[3] Univ Strasbourg, Inst Parasitol & Pathol Trop, F-67091 Strasbourg, France
[4] Hop Univ Strasbourg, Serv Malad Infect & Trop, F-67091 Strasbourg, France
[5] Ctr Hosp Selestat, Serv Med A, F-67600 Selestat, France
关键词
Entamoeba histolytica; Liver abscess; Laboratory diagnosis; Serology; PCR; ENTAMOEBA-HISTOLYTICA; INFECTION;
D O I
10.1051/parasite/2015020
中图分类号
R38 [医学寄生虫学]; Q [生物科学];
学科分类号
07 ; 0710 ; 09 ; 100103 ;
摘要
A 72-year-old man consulted in November 2012 for abdominal pain in the right upper quadrant. The patient had a history of suspected hepatic amebiasis treated in Senegal in 1985 and has not traveled to endemic areas since 1990. Abdominal CT scan revealed a liver abscess. At first, no parasitological tests were performed and the patient was treated with broad-spectrum antibiotics. Only after failure of this therapy, serology and PCR performed after liver abscess puncture established the diagnosis of hepatic amebiasis. The patient was treated with metronidazole and tiliquinol-tilbroquinol. Amebic liver abscess is the most frequent extra-intestinal manifestation. Hepatic amebiasis 22 years after the last visit to an endemic area is exceptional and raises questions on the mechanisms of latency and recurrence of these intestinal protozoan parasites.
引用
收藏
页数:5
相关论文
共 29 条
  • [1] Ambroise-Thomas P, 1975, Acta Trop, V32, P365
  • [2] [Anonymous], 1997, Wkly Epidemiol Rec, V72, P97
  • [3] [Anonymous], 2005, TREATMENT DIARRHOEA, V4th
  • [4] [Anonymous], CANADIAN J GASTROENT
  • [5] [Anonymous], COCHRANE DATABASE SY
  • [6] AUCOTT JN, 1993, INFECT DIS CLIN N AM, V7, P467
  • [7] Bansal D, 2006, INDIAN J MED RES, V124, P189
  • [8] Imported Amoebic Liver Abscess in France
    Cordel, Hugues
    Prendki, Virginie
    Madec, Yoann
    Houze, Sandrine
    Paris, Luc
    Bouree, Patrice
    Caumes, Eric
    Matheron, Sophie
    Bouchaud, Olivier
    [J]. PLOS NEGLECTED TROPICAL DISEASES, 2013, 7 (08):
  • [9] Ding J, 2010, BIOSCI TRENDS, V4, P201
  • [10] Amoebic liver abscess. Study of 20 cases with literature review
    Djossou, F
    Malvy, D
    Tamboura, M
    Beylot, J
    Lamouliatte, H
    Long-Boursier, M
    Le Bras, M
    [J]. REVUE DE MEDECINE INTERNE, 2003, 24 (02): : 97 - 106