Hepatic amebiasis among patients in a public teaching hospital

W X Shandera1, P Bollam, R H Hashmey

  • 1Department of Internal Medicine, Baylor College of Medicine, Ben Taub General Hospital, Houston, Tex 77030, USA.

Southern Medical Journal
|September 22, 1998
PubMed

Insights

Hepatic amebiasis, a parasitic infection, is increasingly diagnosed in the US, primarily affecting immigrants. Prompt diagnosis and treatment lead to rapid recovery and excellent outcomes for patients with this disease.

Area of Science:

  • Infectious Diseases
  • Hepatology
  • Public Health

Background:

  • Increased immigration to the US is linked to imported diseases like amebiasis.
  • Hepatic amebiasis is a significant parasitic infection endemic in developing countries.

Observation:

  • A retrospective review of 49 patients with hepatic amebiasis from 1985-1995 was conducted.
  • The majority of patients were immigrants from Latin America, predominantly male, with a mean age of 39.8 years.
  • Common symptoms included abdominal pain and fever, with ultrasonography revealing single lesions in 70% and right-sided involvement in 85%.

Findings:

  • Entamoeba histolytica serology was positive in 86% of cases.
  • Treatment resulted in rapid symptom resolution: defervescence in 2 days, normalized white cell count in 3 days, and pain resolution in 4 days.
  • Morbidity and mortality rates were low, with one case of pericarditis and one death in a cirrhotic patient.

Implications:

  • Hepatic amebiasis remains a relevant diagnosis in the US, particularly among Hispanic and Asian immigrants.
  • Current diagnostic and therapeutic approaches are effective, leading to swift patient improvement.
  • Awareness of hepatic amebiasis is crucial for clinicians managing immigrant populations.

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