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转移性阿米巴脑脓肿:一种罕见的表现。

Metastatic amebic brain abscess: A rare presentation.

作者信息

Bauddh Nitesh Kumar, Jadon Ranveer Singh, Ranjan Piyush, Vikram N K

机构信息

Department of Medicine, AIIMS, New Delhi, India.

出版信息

Trop Parasitol. 2020 Jan-Jun;10(1):47-49. doi: 10.4103/tp.TP_29_19. Epub 2020 May 20.

DOI:10.4103/tp.TP_29_19
PMID:32775293
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7365510/
Abstract

Amebiasis is an endemic protozoal infection in developing countries. Extra-intestinal involvement in the form of abscess is frequently seen in liver and lungs. The occurrence of amebic brain abscess is a rare and life-threatening presentation of systemic amebiasis. Here, we report a case of a young male who simultaneously presented with amebic liver and brain abscesses. He was successfully managed with intravenous metronidazole, other antibiotics, and drainage of both brain and hepatic abscesses along with supportive measures. The rare occurrence of this simultaneous presentation of amebic hepatic and brain abscess, prompted us to report this case.

摘要

阿米巴病是发展中国家的一种地方性原生动物感染。以脓肿形式出现的肠外受累在肝脏和肺部较为常见。阿米巴脑脓肿的发生是全身性阿米巴病一种罕见且危及生命的表现形式。在此,我们报告一例年轻男性同时出现阿米巴肝脓肿和脑脓肿的病例。通过静脉注射甲硝唑、其他抗生素,以及对脑脓肿和肝脓肿进行引流并辅以支持治疗措施,他得到了成功救治。这种阿米巴肝脓肿和脑脓肿同时出现的罕见情况促使我们报告此病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b1/7365510/31796b732fe4/TP-10-47-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b1/7365510/9597683d83b8/TP-10-47-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b1/7365510/d55ecacbf2df/TP-10-47-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b1/7365510/30c113737b0a/TP-10-47-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b1/7365510/31796b732fe4/TP-10-47-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b1/7365510/9597683d83b8/TP-10-47-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b1/7365510/d55ecacbf2df/TP-10-47-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b1/7365510/30c113737b0a/TP-10-47-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b1/7365510/31796b732fe4/TP-10-47-g004.jpg

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本文引用的文献

1
Undiagnosed amebic brain abscess.未确诊的阿米巴脑脓肿。
Southeast Asian J Trop Med Public Health. 2009 Nov;40(6):1183-7.
2
Amebic colitis: new insights into pathogenesis and treatment.阿米巴结肠炎:发病机制与治疗的新见解
Curr Gastroenterol Rep. 2007 Oct;9(5):429-33. doi: 10.1007/s11894-007-0054-8.
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Laboratory diagnostic techniques for Entamoeba species.内阿米巴属物种的实验室诊断技术。
Clin Microbiol Rev. 2007 Jul;20(3):511-32, table of contents. doi: 10.1128/CMR.00004-07.
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Brain abscess due to Entamoeba histolytica.由溶组织内阿米巴引起的脑脓肿。
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CEREBRAL AMEBIASIS: REPORT OF 17 CASES.脑阿米巴病:17例报告
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Amoebiasis.阿米巴病
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Computed tomographic findings in amebic brain abscess.
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