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Amoebic liver abscess in pregnancy.
K M Read1, S Kennedy-Andrews, D L Gordon
1Department of Microbiology and Infectious Diseases, Flinders Medical Centre, Adelaide, South Australia.
Summary
A rare amoebic liver abscess (ALA) in late pregnancy presented diagnostic challenges and preterm labor risks. This case highlights the importance of considering ALA in pregnant patients, even in non-endemic areas.
Area of Science:
- Hepatology
- Infectious Diseases
- Obstetrics & Gynecology
Background:
- Amoebic liver abscess (ALA) is caused by Entamoeba histolytica, prevalent in developing regions.
- ALA can occur following intestinal amoebiasis, with potential extraintestinal dissemination.
- Pregnancy-associated ALA is infrequently reported, primarily in endemic regions.
Observation:
- A case of ALA in the third trimester of pregnancy is presented.
- The patient, a Caucasian female, had recently traveled to Bali.
- The condition posed significant diagnostic and therapeutic challenges during pregnancy.
Findings:
- The amoebic liver abscess was diagnosed in the third trimester.
- The presentation was associated with an increased risk of preterm labor.
- This case underscores the rarity of ALA in pregnancy outside endemic zones.
Implications:
- Highlights the need for heightened clinical suspicion for ALA in pregnant women, irrespective of geographic origin.
- Emphasizes the diagnostic and management complexities of ALA during pregnancy.
- Suggests potential links between travel history and ALA presentation in non-endemic pregnant populations.