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Abstract. VIASUS PEREZ, Diego F.; PINILLA, Análida E. and LOPEZ, Myriam C.. Immunology of the amebic liver abscess. Rev. salud pública [online]. , vol.6 . PDF | On Nov 1, , VICTOR DE LA MAZA and others published Absceso hepático amebiano, absceso pulmonar amebiano, absceso cerebral amebiano. Se presentan dos casos de absceso hepático amebiano con complicación torácica. Se comenta brevemente la patogenia, clínica, diagnóstico y tratamiento de.

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Complicaciones toracicas en dos casos de absceso hepatico amebiano. Surgical treatment should be reserved for instances of rupture of the abscess or coinfection that is not solved with medical treatment 2, 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 therapeutic tools as well as the development abscrso an effective and safe vaccine for eliminating the disease.

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 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.

The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years. 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.

Previous article Next article. There was no need for a second percutaneous drainage. A case of a HBsAg carrier with simultaneous amebic liver abscess has been reported in an aabsceso of endemicity for amebiasis and on the background of hepatitis E infection Cellular immunity is important for the control of infection and the development of protective immunity after an invasive infection.

The abdominal pain improved, but the patient remained with high temperature. Evaluation of a new bicolores latex agglutination test for immunological diagnosis of hepatic amebiasis. Indications for aspiration of amebianoo abscesses are the need to rule out a pyogenic abscess; bacterial coinfection of ALA, large abscesses with a diameter of more than 5 cm, the prevention of rupture of left-lobe abscesses, the failure to respond clinically to drug therapy within 5 to 7 days and the threat of imminent rupture 2,15, 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.


He denied respiratory symptoms or changes in bowel habit. Diagnosis and management of amebiasis.

Entamoeba histolytica is a protozoa that aebiano humans by fecal-oral contact. In the present case, the early determination, in the sixth day of the disease, could be the cause of the initial negative result.

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After invasion into the intestinal mucosa, it can disseminate to other organs, predominantly the liver, leading to an amebic abscess. Therefore, the submission of manuscripts written in either Spanish or English is welcome. Are you a health professional able to prescribe or dispense drugs? A diagnosis of pyogenic abscess was absceao entertained, due to the absence of epidemiologic risk factors and the negative serology for Entamoeba histolytica.

The percutaneous aspiration can cause the superinfection of the ALA, so it should be avoided in those cases with no indication.

Tratado de Medicina Interna de Cecil-Loeb, 9. The epidemiology hepatifo Spain is unknown. Gammagraphy with gallium reveal “cold” lesions with peripheral rim enhancement, unlike in the case of a pyogenic abscess that appear as a capturing lesion.

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

The increase of the number of cases in the absence of epidemiologic risk factors in our country, as derived from the ehpatico number of cases lately reported, and the present case, lead to consider the existence of autochthonous cases. Most ALA respond to metronidazole therapy.


Piperaciline-tazobactam was added, with resolution of fever and marked improvement in the patientacute;s condition. The amebic liver abscess is abeceso in developed countries like Spain, but the incidence is increasing probably due to the migratory movements of the population. Manuscripts will be submitted electronically using the following web site: The percutaneous aspiration and drainage of ALA is controversial. Rev Clin Esp ; N Engl J Med,pp. Hughes M, Petri W. In the case of amebic liver infection, the role of humoral immunity in protection has not been well established but it is important in seroidemiological studies and for diagnostic methods.


Absceso hepático amebiano sobreinfectado sin antecedentes epidemiológicos

We report a case of an amebic abscess, initially unsuspected due to the absence of epidemiologic risk factors and the negative serology for amebiasis, in the early stages of the disease. Translators working for the Journal are in charge of the corresponding translations. Chest, 73pp. The lack of findings consistent with pyogenic abscess negative gram staining and culture leads to the diagnosis of amebic abscess.

SJR uses a similar algorithm as the Google page amebuano it provides a quantitative and qualitative measure of the journal’s impact.

The aim of the treatment is hepstico treat invasive liver infection and eradicate colonic colonization. There were also radiologic findings of chronic liver disease without portal hypertension Fig 1.

En Harrison’s Principles of Internal Medicine. Some hepahico these cases lacked history of exposure and happened in groups at risk or were considered autochthonous, as the case that we report, that developed on the background of hepatitis B surface antigen HBsAg carrier, with no other factors associated.

A short review of the pathogenesis, clinical signs, diagnosis and management of akebiano entity is included. Treatment of parasitic infections of travelers and inmigrants. March – April Pages Enfermedades infecciosas de los pulmones. Ann Rev Med, 32pp. Infection by the parasite Entamoeba histolytica causes amebic dysentery and amebic liver abscess, diseases associated with a high morbidity and mortality.

Treatment with metronidazole was initiated with disappearance of fever.


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