首例东帝汶感染溶组织内阿米巴病例报告——返回澳大利亚的旅行者中出现急性阿米巴结肠炎和并发晚期阿米巴肝脓肿。

First report of Entamoeba histolytica infection from Timor-Leste--acute amoebic colitis and concurrent late development of amoebic liver abscess in returned travellers to Australia.

机构信息

Infection Management and Prevention Service, Lady Cilento Children's Hospital, Brisbane, Faculty of Paediatrics and Child Health, University of Queensland, Brisbane,

Department of Microbiology, Sullivan Nicolaides Pathology, Brisbane.

出版信息

J Travel Med. 2016 Feb 8;23(2):tav027. doi: 10.1093/jtm/tav027. Print 2016 Feb.

DOI:10.1093/jtm/tav027

PMID:26858275

Abstract

This communication reports invasive amoebic colitis and late onset amoebic liver abscess in three members of a group of 12 Australian travellers to Timor-Leste (TL). This is the first report of Entamoeba histolytica infection from TL. Clinicians in Australia need to consider amoebiasis in the differential diagnosis in travellers returning with colitis, abdominal pain and fever. Presentation with amoebic liver abscess months after exposure is rare but should be suspected in symptomatic individuals with a relevant history of travel.

摘要

本通讯报告了 12 名前往东帝汶的澳大利亚旅行者中的 3 人患有侵袭性阿米巴结肠炎和迟发性阿米巴肝脓肿。这是东帝汶首例报告的溶组织内阿米巴感染病例。澳大利亚的临床医生需要在出现结肠炎、腹痛和发热的旅行者中考虑阿米巴病的鉴别诊断。在暴露数月后出现阿米巴性肝脓肿的表现较为罕见，但对于有相关旅行史的症状性个体，应怀疑该病。