Ng Khuen Foong, Tan Kah Kee, Ngui Romano, Lim Yvonne Al, Amir Amirah, Rajoo Yamuna, Hassan Hamimah, Mahmud Rohela
Department of Pediatric, Tuanku Jaafar Hospital, 70300, Seremban, Negeri Sembilan, Malaysia.
Department of Parasitology, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.
Asian Pac J Trop Med. 2015 Oct;8(10):878-80. doi: 10.1016/j.apjtm.2015.09.018. Epub 2015 Oct 9.
We reported a case of amoebic liver abscess (ALA) in a 6-year-old Malaysian boy who presented with fever, lethargy, diarrhoea and right hypochondriac pain. On admission he was diagnosed with perforated acute appendicitis and a laparotomy was done. After surgery he developed acute respiratory distress. Ultrasonography, chest X-Ray and CT scan revealed two ALAs in the posterior segment of right lobe of liver, pleural effusion and collapsed consolidation of lungs bilaterally. Percutaneous liver abscesses drainage was done and intravenous Metronidazole was started. PCR carried out on the pus from the abscess was positive for Entamoeba histolytica. Patient however succumbed to the infection one week after admission.
我们报告了一例6岁马来西亚男孩的阿米巴肝脓肿（ALA）病例，该男孩出现发热、嗜睡、腹泻和右季肋部疼痛。入院时他被诊断为穿孔性急性阑尾炎，并接受了剖腹手术。术后他出现急性呼吸窘迫。超声检查、胸部X线和CT扫描显示肝右叶后段有两个阿米巴肝脓肿、胸腔积液和双侧肺萎陷实变。进行了经皮肝脓肿引流，并开始静脉注射甲硝唑。对脓肿脓液进行的聚合酶链反应（PCR）检测显示溶组织内阿米巴呈阳性。然而，患者在入院一周后死于感染。
