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Absesos hepáticos amebicos en viajeros que regresan: lecciones a tener en cuenta de una zona no endémica
Anna Barbiero1, Sasha Trevisan1, Tommaso Manciulli1
1Experimental and Clinical Medicine Department, University of Florence, Florence, Italy.
Case reports in infectious diseases
|September 2, 2025
Resumen
Los abscesos hepáticos amébicos son raros en los países de altos ingresos, pero pueden ser contraídos por viajeros. El diagnóstico y el tratamiento rápidos son cruciales para obtener resultados favorables en pacientes con síntomas compatibles y antecedentes de viaje.
Área de la Ciencia:
- Enfermedades infecciosas
- Hepatología
- Medicina de viaje
Sus antecedentes:
- El absceso hepático amebico (ALA) es común en regiones endémicas, pero rara vez se diagnostica en países con altos recursos.
- Los casos en áreas no endémicas suelen estar relacionados con viajes o migraciones internacionales.
Objetivo del estudio:
- Resaltar la importancia de considerar el ALA en pacientes de áreas endémicas que presentan síntomas compatibles.
- Hacer hincapié en el papel crítico de los antecedentes de viaje en el diagnóstico de enfermedades infecciosas importadas.
Principales métodos:
- Revisión retrospectiva de dos pacientes diagnosticados con ALA entre 2010 y 2024.
- Análisis de la presentación clínica, el tratamiento y los resultados.
Principales resultados:
- Dos casos de ALA manejados con éxito en un centro de atención terciaria italiano.
- Ambas infecciones se adquirieron en Colombia, lo que subraya la transmisión de la enfermedad importada.
Conclusiones:
- El ALA debe considerarse en el diagnóstico diferencial de individuos de países endémicos con signos clínicos relevantes.
- El reconocimiento y el tratamiento tempranos son vitales para mejorar el pronóstico del paciente y reducir la morbilidad/mortalidad.
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