Abioye A A
J Trop Med Hyg. 1976 Nov;79(11):252-5.
A thick fibrous walling of amoebic abscess of the liver is very rare. Using as a basis the case of drug and immunodiagnostic resistant amoebic liver abscess in an adult Nigerian, an account is given of the possible mechanisms for such therapeutic and diagnostic failure. A theory of blood-abscess cavity barrier is postulated and suggested as a mechanism for the constant failure to detect antibodies to E. histolytica in the small percentage of cases of amoebic liver abscess (Morris, Powell and Elsdon-Dew, 1970). A study of the rate of diffusion of amoebic excretion/secretion through a thick fibrous tissue or artificial membrane of comparable properties is strongly advocated.
肝阿米巴脓肿出现厚纤维壁的情况极为罕见。以一名成年尼日利亚人患耐药且免疫诊断耐药的阿米巴肝脓肿病例为基础，阐述了此类治疗和诊断失败的可能机制。提出了血-脓肿腔屏障理论，并认为这是在小部分阿米巴肝脓肿病例中持续无法检测到溶组织内阿米巴抗体的一种机制（莫里斯、鲍威尔和埃尔斯登-杜，1970年）。强烈主张研究阿米巴排泄物/分泌物通过厚纤维组织或具有类似性质的人工膜的扩散速率。
