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阿米巴肝脓肿:近年来的罕见病症。

Amoebic Liver Abscess: Rare Entity in Recent Times.

作者信息

Reddy Ravikanth

机构信息

Radiology, St. John's Hospital, Bengaluru, IND.

出版信息

Cureus. 2021 Sep 3;13(9):e17698. doi: 10.7759/cureus.17698. eCollection 2021 Sep.

Abstract

Intestinal amoebiasis and sequelae such as amoebic liver abscess are rarely reported in the era of modern medicine. Atypical presentation of amoebic liver abscess with high false-positive results on serology in endemic regions poses major diagnostic issues in the developing nations of the world. We report a case of amoebic liver abscess and describe the imaging appearances in a 59-year-old female. A detailed medical history was elicited to determine the etiology of amoebic liver abscess. Furthermore, the diagnosis was confirmed based on serological tests. Percutaneous aspiration of the amoebic liver abscess was performed, and treatment was initiated with intravenous metronidazole followed by diloxanide furoate. The patient has been on follow-up since three months with a negative stool examination and with no complaints of recurrence.

摘要

在现代医学时代,肠道阿米巴病及其后遗症如阿米巴肝脓肿鲜有报道。在世界上的发展中国家,地方性流行区域内阿米巴肝脓肿的非典型表现以及血清学检查出现高假阳性结果带来了重大诊断问题。我们报告一例阿米巴肝脓肿病例,并描述一名59岁女性患者的影像学表现。通过详细询问病史以确定阿米巴肝脓肿的病因。此外,基于血清学检查确诊。对阿米巴肝脓肿进行了经皮穿刺抽吸,并开始静脉注射甲硝唑,随后口服二氯尼特糠酸酯进行治疗。该患者已接受三个月的随访,粪便检查结果为阴性,且无复发主诉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a4b/8489599/b98c173d9a68/cureus-0013-00000017698-i01.jpg

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