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Recurrent amebic liver abscesses over a 16-year period: a case report
D Creemers-Schild1,2, P J J van Genderen1, L G Visser2
1Institute for Tropical Diseases, Harbour Hospital, Rotterdam, The Netherlands.
BMC Research Notes
|October 21, 2016
Summary
Recurrent amebic liver abscesses are rare, especially in high-income countries. This case highlights a patient with three episodes over 16 years despite adequate treatment, prompting exploration of underlying causes.
Area of Science:
- Infectious Diseases
- Hepatology
- Parasitology
Background:
- Amebic liver abscess (ALA) is uncommon in developed nations.
- Recurrences of ALA are exceptionally rare, with limited documented cases.
- This report details a unique instance of multiple ALA recurrences in a single patient.
Observation:
- A Caucasian male experienced three distinct amebic liver abscess events at ages 23, 27, and 39.
- Only the initial episode was associated with recent travel to tropical regions.
- The patient underwent appropriate medical treatment for each abscess episode.
Findings:
- The patient presented with recurrent amebic liver abscesses over a 16-year span.
- Despite consistent and adequate treatment, the abscesses reappeared.
- Potential contributing factors such as asymptomatic carriage, familial cyst transmission, reinfection, or coincidence were considered.
Implications:
- This case underscores the possibility of rare, long-term recurrences of amebic liver abscesses.
- It prompts further investigation into the pathophysiology of recurrent ALA, even in treated individuals.
- Understanding these rare occurrences may inform diagnostic and management strategies for similar complex cases.
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