Mohr W
Immun Infekt. 1976 Aug;4(4):156-61.
The problem by the amoebiasis is to differenciate the symptoms against the other similar diseases of the gastro-intestinal tract, also in cases of amoebic-abscesses in liver, lungs, brain and other organs. The presence of zystes and minutaforms of E. histolytica in the stool is not to identify with amoebic-dysenterie. Dysenterie in the tropics can have many different reasons and not alone amoebic infection. Persons with amoebic-infection are under the hygienic condition of central-europe not a risk for their surrounding persons and not like persons who excrete salmonelles. For the diagnostic the restoscopical picture and the X-ray of the colon are very important. To clear the diagnosis amoebic-liverabscess serological tests, , immunelectrophoresis and immundiffusion are necessary, especially szintigraphic or sonographic examination; For therapie of amoebiasis we have to-day very good drugs. Even the liver abscess early diagnosed is possible to cure.
阿米巴病的问题在于,要将其症状与其他类似的胃肠道疾病区分开来,在肝脏、肺、脑和其他器官出现阿米巴脓肿的情况下也是如此。粪便中存在溶组织内阿米巴的包囊和微小滋养体并不等同于阿米巴痢疾。热带地区的痢疾可能有许多不同原因,并非仅由阿米巴感染引起。在中欧的卫生条件下,阿米巴感染者对其周围的人不构成风险,不像排泄沙门氏菌的人那样。对于诊断来说,直肠镜检查图像和结肠X线检查非常重要。为了明确诊断阿米巴肝脓肿,血清学检测、免疫电泳和免疫扩散是必要的,尤其是闪烁扫描或超声检查;对于阿米巴病的治疗,我们现在有非常好的药物。即使早期诊断出的肝脓肿也有可能治愈。