Czepiel Jacek, Gomulska Martyna, Biesiada Graźyna, Sobczyk-Krupiarz Iwona, Kisiel Roksana, Garlicki Aleksander
Med Dosw Mikrobiol. 2017;69(1):35-41.
Amebiasis is a widespread parasitic infection caused by the human-specific protozoan Entamoeba histolytica (E.- histolytica). Tropical and subtropical regions with poor socioeconomic and sanitary conditions belong to endemic areas. The highest rates of E. histolytica infection are observed in India, Mexico, Africa, some parts ofCentral and South America. Up to 90% of infections remain asymptomatic, about 10% of patients develop amebic colitis. About 10% of symptomatic individuals may present with an extraintestinal manifestation, mostly amebic liver abscess (ALA). Clinical symptoms of ALA appear within 5 months after an exposition to E. histolytica cysts. Anamnesis revealing a travel to endemic area plays a crucial role in a diagnostic process, which is further supported by an physical examination, radiological findings, serology and parasitology test. The following article presents the difficulties which may occur when the ALA is suspected in a patient traveling from endemic areas.
阿米巴病是一种由人类特异性原生动物溶组织内阿米巴引起的广泛传播的寄生虫感染。社会经济和卫生条件差的热带和亚热带地区属于流行区。在印度、墨西哥、非洲、中美洲和南美洲的一些地区，溶组织内阿米巴感染率最高。高达90%的感染无症状，约10%的患者发展为阿米巴结肠炎。约10%的有症状个体可能出现肠外表现，主要是阿米巴肝脓肿（ALA）。ALA的临床症状在接触溶组织内阿米巴囊肿后5个月内出现。既往史显示前往流行区旅行在诊断过程中起关键作用，体格检查、影像学检查结果、血清学和寄生虫学检查进一步支持这一诊断。以下文章介绍了怀疑来自流行区的患者患有ALA时可能出现的困难。
