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Amoebic hepatic abscess with leukaemoid reaction
Tropical and Geographical Medicine
|March 1, 1984
Summary
This case report details an amoebic liver abscess presenting with a leukaemoid reaction, a significant increase in white blood cells. This finding highlights a rare but serious complication of amoebiasis.
Area of Science:
- Hepatology
- Infectious Diseases
- Hematology
Background:
- Amoebic liver abscess (ALA) is a common complication of Entamoeba histolytica infection.
- Leukaemoid reaction, characterized by a marked elevation in white blood cell count, is typically associated with non-hematologic conditions.
Observation:
- This report describes a rare instance of ALA accompanied by a leukaemoid reaction.
Findings:
- The patient exhibited an extremely high leucocyte count of 81,000 cells/cmm.
- A significant left shift in the differential white blood cell count was observed, indicating immature neutrophils.
Implications:
- The co-occurrence of ALA and leukaemoid reaction suggests a severe inflammatory response to the amoebic infection.
- This case underscores the importance of considering parasitic infections in the differential diagnosis of unexplained leukaemoid reactions.