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2015, Number 2

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Sal Jal 2015; 2 (2)

Controversia en el manejo del absceso hepatico amebiano Reporte de un caso

Vázquez-Corona A, Meza-Pérez JA

Language: Spanish
References: 17
Page: 96-99
PDF size: 224.42 Kb.


ABSTRACT

Amebic liver abscess remains to be a health problem especially in the developing countries. Despite this, the extra-intestinal complications of amebiasis are becoming far less frequent. Th e case of a female patient of 17 months of age was presented, through which the diagnosis of amebic liver abscess was established. Upon her admission the patient developed high fever, leukocytosis, transaminasemia, hepatomegaly and hepatalgia. Th e determination of positive “fresh amoeba” in stool samples, IgG antibodies and the imaging characteristics through an ultrasound, including the excellent response to treatment with metronidazole, confirmed the suspected diagnosis. Th ree hepatic liver abscesses were detected predominantly in the left hepatic lobe and due to the dimensions thereof, the possibility of evacuating the abscesses through a surgical approach was contemplated. However, given the favorable clinical outcome and responses, we may conclude that drug treatment is suffi cient as a cure, as reported in the world literature.


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