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一例阿米巴肝脓肿病例,呈现为治疗难题,需要探索其他未被广泛关注的治疗方式。

A Case of Amoebic Liver Abscess Presenting as a Therapeutic Conundrum Necessitating the Exploration of Other Under-the-Radar Treatment Modalities.

作者信息

Khanna Kushagra, Khanna Rajika, Acharya Sourya, Kumar Sunil

机构信息

Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND.

Department of Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, IND.

出版信息

Cureus. 2022 Aug 28;14(8):e28493. doi: 10.7759/cureus.28493. eCollection 2022 Aug.

Abstract

Tropical countries have recorded incidences of amoebic liver abscess (ALA) owing to the more significant epidemiology and pathogenicity of the intestinal protozoan Entamoeba histolytica in these regions However, the rise in the number of immigrants from such areas to developed countries has made it necessary to thoroughly review the diseases caused by the parasite globally. Patients generally present with the usual features of right upper quadrant pain, painful hepatomegaly, mild jaundice, and vomiting, to name a few; however, the condition can manifest varied presentations accompanied by a plethora of findings non-responsive to the standard treatment. Therefore, newer modalities should be considered by weighing their risks and benefits to reduce morbidity and mortality and improve patient outcomes.

摘要

热带国家记录了阿米巴肝脓肿(ALA)的发病率,因为肠道原生动物溶组织内阿米巴在这些地区具有更显著的流行病学特征和致病性。然而,从这些地区移民到发达国家的人数增加,使得有必要对全球范围内由该寄生虫引起的疾病进行全面审查。患者通常表现出右上腹疼痛、肝肿大疼痛、轻度黄疸和呕吐等常见症状;然而,这种疾病可能表现出多种症状,并伴有大量对标准治疗无反应的症状。因此,应通过权衡其风险和益处来考虑采用新的治疗方法,以降低发病率和死亡率,改善患者预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74f0/9514005/86d1a770d317/cureus-0014-00000028493-i01.jpg

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