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[Intestinal amoebiasis with hepatic abscess: a case report].
P Bellissima1, S Bonfante, U Failla
1Divisione di Malattie Infettive e Servizio di Radiologia, Azienda Ospedaliera Gravina,Caltagirone, Catania, Italy.
Le Infezioni in Medicina
|January 1, 1997
Summary
This case study details an imported intestinal amoebiasis with a hepatic abscess in a young man. Effective medical treatment with metronidazole, chloroquine, and paromomycin resolved both the intestinal infection and the liver abscess.
Area of Science:
- Infectious Diseases
- Hepatology
- Parasitology
Context:
- Presents an imported case of intestinal amoebiasis complicated by a hepatic abscess.
- Highlights a clinical scenario in a young Sicilian man residing in Venezuela, an endemic area.
Purpose:
- To describe the clinical, diagnostic, and therapeutic aspects of a rare imported case of intestinal amoebiasis with hepatic abscess.
- To illustrate the successful management of a complex parasitic liver infection.
Summary:
- The patient presented with symptoms including abdominal disorders, right hypochondrium pain, fever, hepatomegaly, and weight loss.
- Diagnostic workup involved stool parasitology, bio-humoral and serological tests, ultrasonography, scintigraphy, and liver computed tomography (CT).
- Combined medical therapy (metronidazole, chloroquine, paromomycin) and surgical drainage of the abscess cavity led to resolution.
Impact:
- Demonstrates the importance of considering parasitic infections in patients with relevant travel history presenting with liver abscesses.
- Provides insights into the comprehensive diagnostic approach and effective multi-modal treatment strategy for amoebic liver abscesses.