Juvara I, Panaitescu D, Vereanu I, Radu C
Rev Ig Bacteriol Virusol Parazitol Epidemiol Pneumoftiziol Bacteriol Virusol Parazitol Epidemiol. 1976 Jan-Mar;21(1):55-61.
The present paper reports on the first autochtonous case of amoebic hepatic abscess in Romania in a patient in which the epidemiologic survey showed that there had been no possible import infection. The amoebic abscess was located in the superoexternal area of the right hepatic lobe. Subsequently a major complication developed: a tendency to pleuropulmonary invasion with the formation of fluid in the right pleural cavity. The diagnosis, suggested by the aspect of the abscess cavity, was established by the presence of the parasite in the flaky pleural exudate obtained by puncture, by cultures in Loeffler medium and by serum immunofluorescence. The abscess was evacuated surgically and a specific treatment with Chloroquine and Metronidazol combined with antibiotics and a symptomatic medication was prescribed. The patient recovered and was discharged 51 days after surgery.
本文报道了罗马尼亚首例阿米巴肝脓肿本土病例，该患者的流行病学调查显示不存在可能的输入性感染。阿米巴脓肿位于右肝叶的外上区域。随后出现了一种主要并发症：有胸膜肺侵袭倾向，并在右胸腔形成积液。根据脓肿腔的外观提示进行诊断，通过穿刺获得的片状胸腔渗出物中存在寄生虫、在吕弗勒培养基中培养以及血清免疫荧光检查得以确诊。脓肿通过手术引流，并开具了氯喹和甲硝唑联合抗生素的特效治疗以及对症药物。患者康复，术后51天出院。
