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[Amebic liver abscess in Tarapoto-Peru]
L Samaniego1, J Calderón, J Rodríguez
1Del Hospital de Apoyo Integrado del IPSS--Tarapoto, Peru.
Unlabelled:
In order to know the incidence and epidemiologic features of the Amebic Hepatic Abscess we realized this study in the medicine service. 86.67% were males, the average age was 41.38 +/- 18.60 years old being more frequent between 30 and 69 years old (74.48%). The more affected were farmers (60%), students (10%) and Housekeepers (6.67%). The average time of the disease was 12.12 +/- 6.35 dias. The most frequent symptoms were abdominal pain in the upper right quadrant (96.66%), Hepatomegaly (83.33%), Fever (82.22%), Diarrhea (37.77%), Nausea (36.66%), Jaundice (33.33%). The initial diagnosis was AHA (45.55%), acute cholecystitis (14.44%), generalized infectious syndrome (7.77%), acute hepatitis (6.66%). The most frequent studies was: echography (98.85%). AHA alone was in the right lobe (84.05%), left lobe (14.49%). The bigger abscess was of 12 cm in diameter. The treatment was metronidazole + antibioticos (37.78%), metronidazole + antibiotico+percutaneous drainage (24.45%), Metronidazole + surgical drainage (3.33%). The complications were right pleural effusion (8.89%), peritonitis (5.56%) and pioneumothorax (1.11%). The hospitalization time was 14 +/- 8.02 days. There was one death (1.11%).
Conclusion:
The AHA was ones of each 76 deliveries in our medicine service.
Insights
Amebic Hepatic Abscess (AHA) predominantly affects middle-aged males, often presenting with abdominal pain and fever. Treatment involves metronidazole and antibiotics, with complications including pleural effusion.
Area of Science:
- Hepatology
- Infectious Diseases
- Epidemiology
Context:
- Amebic Hepatic Abscess (AHA) is a significant parasitic infection.
- Understanding its incidence and epidemiological features is crucial for effective management.
Purpose:
- To determine the incidence and epidemiologic characteristics of Amebic Hepatic Abscess.
- To analyze clinical presentation, diagnosis, treatment, and outcomes.
Summary:
- This study analyzed 86.67% male patients, with an average age of 41.38 years, predominantly farmers.
- Common symptoms included upper right quadrant abdominal pain, hepatomegaly, and fever.
- Echography was the primary diagnostic tool, revealing abscesses mainly in the right lobe.
Impact:
- Findings highlight the demographic and clinical patterns of AHA, aiding early diagnosis.
- Treatment strategies, including metronidazole and antibiotics, with or without drainage, were evaluated.
- The study identified key complications and mortality rates, informing clinical practice and patient care.