Amebic infection in humans

Gourdas Choudhuri1, Murali Rangan

  • 1Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226 014, India. choudhuri.gour@gmail.com

Insights

Amebiasis, caused by Entamoeba histolytica, affects millions globally, leading to significant mortality. This review updates scientific developments in amebiasis, focusing on diagnosis and management of invasive forms like amebic liver abscess.

Area of Science:

  • Medical Parasitology
  • Infectious Diseases
  • Tropical Medicine

Background:

  • Amebiasis remains a significant global health concern, with Entamoeba histolytica causing millions of infections and substantial annual deaths.
  • Distinguishing invasive Entamoeba histolytica from non-invasive Entamoeba dispar requires specialized diagnostics.
  • Amebic liver abscess, a severe manifestation, complicates 1% of infections, posing a potentially fatal threat.

Purpose of the Study:

  • To provide a comprehensive review of Entamoeba histolytica and Entamoeba dispar infections.
  • To elucidate parasite and host factors influencing disease manifestation and severity.
  • To update on modern diagnostic and therapeutic strategies for amebiasis, particularly amebic liver abscess.

Main Methods:

  • Literature review of amebiasis, focusing on parasite biology, host-pathogen interactions, and clinical management.
  • Analysis of the role of modern imaging and image-guided therapies in diagnosing and managing amebic liver abscess.
  • Synthesis of current scientific developments and clinical practice guidelines.

Main Results:

  • Invasive amebiasis, especially amebic liver abscess, requires accurate diagnosis using molecular or enzymatic methods.
  • Modern imaging techniques and image-guided therapies are increasingly vital for managing amebic liver abscess.
  • Despite challenges, in-hospital mortality for amebic liver abscess appears to be decreasing.

Conclusions:

  • Accurate diagnosis and management of amebiasis, particularly invasive forms, are crucial despite declining awareness.
  • Advances in imaging and interventional therapies are improving outcomes for amebic liver abscess.
  • Continued research and updated clinical practices are essential to combat the global burden of amebiasis.

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