1/136. HBsAg carrier with simultaneous amebic liver abscess and acute hepatitis E.hepatitis e virus (HEV) infection and amebiasis are waterborne diseases that are endemic in india. However, their co-occurrence has never been described. We report a patient who presented with fever, jaundice and tender hepatomegaly and on investigation was found to have coexisting acute hepatitis E and amebic liver abscess. Incidentally, he was also an HBsAg carrier.- - - - - - - - - - ranking = 1keywords = abscess (Clic here for more details about this article) |
2/136. Amebic liver abscess in an elderly AIDS patient.An elderly bisexual male AIDS patient, whose CD4 cell count was 128/mm3 and hiv-rna was 3.0x10(5) copies/ml, was admitted because of amebic liver abscess and poor nutritional condition. He was treated with daily doses of 1,500 mg of metronidazole for 14 days for amebic liver abscess and with anti-hiv drugs; good therapeutic results were observed. Our study indicates that amebic liver abscess is easily treated by appropriate administration of metronidazole even in an old AIDS patient receiving anti-hiv drugs with low CD4 cell counts and high hiv-rna values.- - - - - - - - - - ranking = 1.4keywords = abscess (Clic here for more details about this article) |
3/136. Acute encephalopathy associated with metronidazole therapy.A forty-eight year-old male with amoebic liver abscess became encephalopathic 3 days following oral metronidazole. Withdrawal of the drug led to prompt resolution of all encephalopathic symptoms.- - - - - - - - - - ranking = 0.2keywords = abscess (Clic here for more details about this article) |
4/136. Multiple liver abscesses: an unusual case which demonstrates the importance of ultrasonography in the detection of liver pathology.A 48-year-old caucasian male was admitted to hospital with right-sided chest pain, pyrexia and cough. He had no history of dysentery. He was treated with erythromycin and cotrimoxazole for right lower lobe pneumonia but failed to respond. Tender hepatomegaly developed and ultrasound scan demonstrated multiple abscesses in the liver. entamoeba histolytica was identified in his faeces. He was treated with intravenous metronidazole, chloramphenicol and gentamicin and then oral tinidazole, after which improvement was rapid. He was later transferred to australia. Subsequent abdominal CAT scan and aspiration of abscesses confirmed the diagnosis of multiple amoebic liver abscesses with secondary bacterial infection. Final treatment was with oral ciprofloxacin and metronidazole for four weeks. ultrasonography is a noninvasive technique which is invaluable in the diagnosis of abdominal and especially liver pathology. This technique should be available in larger centres in tropical countries. Anyone living in or visiting the tropics should be aware of possible exotic diseases presenting in unusual ways.- - - - - - - - - - ranking = 1.4keywords = abscess (Clic here for more details about this article) |
5/136. Gastric wall erosion by an amebic liver abscess in a 3-year-old girl.The occurrence of an amebic liver abscess (ALA) rupturing into the stomach is reported. ALAs in children can have atypical presentations, resulting in delayed diagnosis and increased morbidity and mortality. Timely treatment is usually followed by complete recovery.- - - - - - - - - - ranking = 1keywords = abscess (Clic here for more details about this article) |
6/136. Gastric perforation of a left lobe amoebic liver abscess.liver abscess is the most common extra-intestinal manifestation of invasive amoebiasis. Perforation of the abscess is a potential life-threatening complication. We report a case where perforation into the stomach was successfully managed conservatively. The initial diagnosis in this case was made by gastroscopy and biopsy. To our knowledge, only five cases of gastric perforation of an amoebic liver abscess have been reported in the English literature. In none of these cases was the diagnosis established by histology of gastric biopsy specimens.- - - - - - - - - - ranking = 1.4keywords = abscess (Clic here for more details about this article) |
7/136. Ruptured liver abscess with fulminant amoebic colitis: case report with review.Amoebic liver abscess is the commonest extra intestinal manifestation of amoebiasis. Intraperitoneal rupture of liver abscess and fulminant necrotizing amoebic colitis are rare occurrences which complicate a severe form of invasive disease caused by entamoeba histolytica. These complications are associated with a high morbidity and mortality. Synchronous pathological lesions in colon and liver are rare. Still rare is the occurrence of complicated colonic and hepatic invasive amoebiasis presenting as an acute abdomen. One such presentation of ruptured liver abscess and necrotizing amoebic colitis in a 70 year old male which was successfully managed is being reported.- - - - - - - - - - ranking = 1.4keywords = abscess (Clic here for more details about this article) |
8/136. Tuberculous liver abscess: a case report and review of literature.Tuberculous liver abscess is rare worldwide. We report a 45-year-old man who presented with abdominal pain, fever and weight loss. Ultrasound and computed tomography of the abdomen showed multiple cystic lesions in the liver. Ultrasound guided needle aspiration revealed yellowish brownish aspirate, which was flooded with acid-fast bacilli. The abscess was drained under ultrasound guidance. Subsequent abdominal ultrasound a few days later showed resolution of the abscess cavity. He was concomitantly started on systemic antituberculous therapy. A tuberculous liver abscess has to be thought of in the differential diagnosis of liver abscesses and to consider the role of percutaneous drainage along with systemic antituberculous chemotherapy as an alternative to surgery in the management. A greater awareness of this clinical entity is required for successful treatment.- - - - - - - - - - ranking = 1.8keywords = abscess (Clic here for more details about this article) |
9/136. Amoeboma of ascending colon with multiple amoebic liver abscesses.A case of amoeboma of the ascending colon with multiple amoebic liver abscess is being presented; which was mistakenly diagnosed as carcinoma of ascending colon with multiple secondaries in liver. awareness of this previously unreported association is important because it adds to our knowledge of the spectrum of intestinal amoebiasis.- - - - - - - - - - ranking = 1keywords = abscess (Clic here for more details about this article) |
10/136. Amebic liver abscess and human immunodeficiency virus infection: a report of three cases.Invasive amebiasis rarely occurs in homosexual men and human immunodeficiency virus (hiv)-infected individuals and has not been regarded as a beacon for concomitant hiv infection. We encountered a bisexual man with a protracted course of amebic liver abscess and amebic colitis. In the presence of fever, generalized lymphadenopathy, and elevated serum aminotransferase levels, hiv infection was suspected and then confirmed by a de novo seroconversion of hiv antibody. Subsequently, we noted two consecutive patients with amebic liver abscess, also later found to be infected with hiv. The ameba obtained from these three cases was identified as entamoeba histolytica by amplification of 16S ribosomal rna by polymerase chain reaction and direct sequencing. This observation suggests that amebic liver abscess and colitis can be presentations for hiv infection in the far east. Thus, the local patients with invasive amebiasis, especially those with a protracted course or with risk factors of hiv infection, should be tested for hiv.- - - - - - - - - - ranking = 1.4keywords = abscess (Clic here for more details about this article) |
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