medigraphic.com
Órgano Oficial de la Asociación Mexicana de Infectología Pediátrica y la SLIPE.

2006, Number 77

<< Back Next >>

Rev Enfer Infec Pediatr 2006; 19.20 (77)

Infrequent presentation of amebiano hepático abscess in pediatría

Cardoso HG, Hernández PM, Zepeda OG, González SN

Language: Spanish
References: 22
Page: 3-7
PDF size: 93.70 Kb.


ABSTRACT

Background. Amebic liver abscess is the most common extraintestinal presentation of invasive E. histolytica infections. Usually the patient presents with fever, abdominal pain in upper right quadrant, and hepatomegaly. Atypical presentation occurs in two settings: 1) drainage in to a cavity (pleural or abdominal), or 2) hepatic mass (as in this case).
Case report. Seven-year old girl with history of abdominal pain and abdominal mass in left upper quadrant, malaise, and weight loss, abdominal computed tomography showed image suggestive of hepatic tumor, oppenig the possibility of an undifferentiated embryonic sarcoma. Indirect hemagglutination assay for E. histolytica was positive (1:8192). Even though the patient underwent exploratory laparotomy to perform drainage of the abscess and biopsy. A liver abscess with coagulated material and left pleural effusion were found, left diaphragm was not perforated. To our knowledge no such data has been published in children.
Conclusion. Although frequency of amebic liver abscess has decreased in industrialized countries, continues to be a differential diagnosis of abdominal mass in developing countries, high index of suspicion is necessary to provide adequate treatment before complications occur. Early treatment with metronidazol improves outcome decreasing the need of referral to specialized centers.


REFERENCES

  1. Cabello RR. Absceso hepático amibiano en población pediátrica. En: Cabello RR, Herrera BI. Síndrome diarreico infeccioso. Editorial Médica Panamericana, México, 2002, pp. 323-332.

  2. Harrison HR, Crowe CP, Fulginiti VA. Amebic liver abscess in children: clinical and epidemiologic features. Pediatrics. 1979;64:923-8.

  3. Tony JC, Martin TK. Profile of amoebic liver abscess. Arch Med Res. 1992;23:249-50.

  4. Porras-Ramírez G, Hernández-Herrera MH, Porras-Hernández JD. Amoebic hepatic abscess in children. J Pediatr Surg. 1995;30:662-4.

  5. Álvarez CR, Márquez AMP, Macias PM, Chacón CE. Amibiasis hepática en el Instituto Nacional de Pediatría de 1971 a 1994. Rev Enf Infec Ped. 1999;47:215-220.

  6. Nazir Z, Moazam F. Amebic liver abscess in children. Pediatr Infect Dis J. 1993;12:929-32.

  7. Díaz JIV, González SN, Xochihua DL. Absceso hepático amebiano abierto a pulmón en un infante. Rev Enf Infec Ped. 2003;64:136-140.

  8. Caballero-Salcedo A, Viveros-Rogel M, Salvatierra B, Tapia-Conyer R, Sepúlveda-Amor J, Gutiérrez G, et. al. Seroepidemiology of amebiasis in Mexico. Am J Trop Med Hyg. 1994;50:412-9.

  9. Ravdin JI. Amebiasis. Clin Infect Dis. 1995;20:1453-66.

  10. Reed SL. New concepts regarding the pathogenesis of amebiasis. Clin Infect Dis. 1995;21(suppl 2):S182-5.

  11. Eggleston FC, Verghese M, Handa AK, Gill SS. The results of surgery in amoebic liver abscess: experiences in eighty-three patients. Surgery. 1978;83:536-9.

  12. Van Allan RJ, Katz MD, Johnson MB, Laine LA, Liu Y, Ralls PW. Uncomplicated amoebic liver abscess: prospective evaluation of percutaneous therapeutic aspiration. Radiology. 1992;183:827-30.

  13. Krupp IM. Antibody response in intestinal and extraintestinal amebiasis. Am J Trop Med Hyg. 1970;19:57-62.

  14. Ambrosious-Diener K, Peña-Alonso R. Patología de la amibiasis. Bol Med Hosp Infant Méx. 1986;43:453-464.

  15. Vázquez GE, Calderón ECA, Ruano AJM, Gutiérrez UJA, Duarte VJC, Leal LCA. Sarcoma embrionario indiferenciado hepático en niños. Presentación de dos casos clínicos. Revista de Oncología. 2002;4:496-500.

  16. Stocker JT, Ishak KG. Undifferentiated (embryonal) sarcoma of the liver: report of 31 cases. Cancer. 1978;42:336-48.

  17. Webber EM, Morrison KB, Pritchard SL, Sorensen PH. Undifferentiated embryonal sarcoma of the liver: results of clinical management in one center. J Pediatr Surg. 1999;34:1641-4.

  18. Ralls PW. Focal inflammatory disease of the liver. Radiol Clin North Am. 1998;36:377-89.

  19. Krupp IM. Antibody response in intestinal and extraintestinal amebiasis. Am J Trop Med Hyg. 1970;19:57-62.

  20. Khan MH, Qamar R, Shaikh Z. Serodiagnosis of amoebic liver abscess by IHA method. J Pak Med Assoc. 1989;39:262-4.

  21. Ahmed M, McAdam KP, Sturm AW, Hussain R. Systemic manifestations of invasive amebiasis. Clin Infect Dis. 1992;15:974-82.

  22. Eggleston FC, Handa AK, Verghese M. Amoebic peritonitis secondary to amoebic liver abscess. Surgery. 1982;91:46-8.




2020     |     www.medigraphic.com