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阿米巴肝脓肿:中国广东一例单病例的诊断与管理

Amoebic liver abscess: diagnosis and management of a single case in Guangdong, China.

作者信息

He Yixin, Huang Dana, Yang Ying

机构信息

Department of Emergency, Peking University Shenzhen Hospital, Shenzhen, Guangdong, China.

Shenzhen Center for Disease Control and Prevention, Shenzhen, Guangdong, China.

出版信息

BMC Infect Dis. 2025 Mar 12;25(1):350. doi: 10.1186/s12879-025-10623-0.

DOI:10.1186/s12879-025-10623-0
PMID:40075356
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11905540/
Abstract

BACKGROUND

Amoebic liver abscess is a hepatic infection due to the invasion of Entamoeba histolytica. This parasitic infection is globally distributed, particularly in tropical and subtropical regions. A remarkable decline in the incidence of amoebic liver abscesses has been observed in recent years thanks to economic and public health progress.

CASE PRESENTATION

This case report describes the symptoms of a 32-year-old male with an amoebic liver abscess. Despite the diagnostic difficulties encountered, favorable outcomes were obtained after the appropriate drainage of the abscess and the appropriate anti-amoebic therapy by the administration of metronidazole.

CONCLUSIONS

The management of amoebic liver abscess requires a meticulous evaluation of the patient's clinical manifestations, the severity of the condition, and the response to therapeutic interventions. Early identification, combined with timely and effective treatment, is essential to reduce the risk of complications and the mortality rate.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

阿米巴肝脓肿是由溶组织内阿米巴侵袭引起的肝脏感染。这种寄生虫感染在全球范围内均有分布,尤其在热带和亚热带地区。由于经济和公共卫生的进步,近年来观察到阿米巴肝脓肿的发病率显著下降。

病例报告

本病例报告描述了一名32岁男性患有阿米巴肝脓肿的症状。尽管遇到了诊断困难,但通过对脓肿进行适当引流并给予甲硝唑进行适当的抗阿米巴治疗后,取得了良好的效果。

结论

阿米巴肝脓肿的管理需要对患者的临床表现、病情严重程度以及对治疗干预的反应进行细致评估。早期识别,结合及时有效的治疗,对于降低并发症风险和死亡率至关重要。

临床试验编号

不适用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/11905540/80ce9a1babd6/12879_2025_10623_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/11905540/18e0ae807819/12879_2025_10623_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/11905540/2bbe3569cd58/12879_2025_10623_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/11905540/80ce9a1babd6/12879_2025_10623_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/11905540/18e0ae807819/12879_2025_10623_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/11905540/2bbe3569cd58/12879_2025_10623_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/11905540/80ce9a1babd6/12879_2025_10623_Fig3_HTML.jpg

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Amoebic liver abscess: diagnosis and management of a single case in Guangdong, China.阿米巴肝脓肿:中国广东一例单病例的诊断与管理
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本文引用的文献

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Practical approach to a patient with fever who travelled to the tropics.前往热带地区旅行后发热患者的实用处理方法。
Pol Arch Intern Med. 2024 Mar 27;134(3). doi: 10.20452/pamw.16660. Epub 2024 Jan 11.
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Massive pleural empyema secondary to amoebic liver abscess in a child.儿童阿米巴肝脓肿继发巨大脓胸。
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Accurate laboratory diagnosis of human intestinal and extra-intestinal amoebiasis.人类肠道和肠外阿米巴病的准确实验室诊断。
Gastroenterol Hepatol Bed Bench. 2022;15(4):343-359. doi: 10.22037/ghfbb.v15i4.2496.
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Amebic liver abscess by .由……引起的阿米巴肝脓肿 。 你提供的原文“Amebic liver abscess by.”似乎不太完整,翻译可能不太准确,你可以检查下原文内容,以便我能更精准地为你翻译。
World J Clin Cases. 2022 Dec 26;10(36):13157-13166. doi: 10.12998/wjcc.v10.i36.13157.
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A rare case of extraintestinal amebiasis.罕见的肠外阿米巴病病例。
BMC Infect Dis. 2022 Apr 11;22(1):364. doi: 10.1186/s12879-022-07348-9.
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Amoebic liver abscess.阿米巴肝脓肿
Rev Soc Bras Med Trop. 2022 Feb 25;55:e0665. doi: 10.1590/0037-8682-0665-2021. eCollection 2022.
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Amebiasis and Amebic Liver Abscess in Children.儿童阿米巴病和肝脓肿。
Pediatr Clin North Am. 2022 Feb;69(1):79-97. doi: 10.1016/j.pcl.2021.08.003.
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Percutaneous catheter drainage of uncomplicated amoebic liver abscess: prospective evaluation of a clinical protocol for catheter removal and the significance of residual collections.经皮导管引流单纯性阿米巴肝脓肿:导管拔除临床方案的前瞻性评估及残余积液的意义
Abdom Radiol (NY). 2021 Jun;46(6):2855-2864. doi: 10.1007/s00261-021-02949-5. Epub 2021 Jan 19.
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Clin J Gastroenterol. 2021 Apr;14(2):555-559. doi: 10.1007/s12328-020-01331-0. Epub 2021 Jan 11.
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Huge Amoebic Liver Abscess in the Left Lobe Treated by Oral Administration of Metronidazole.巨大左叶阿米巴性肝脓肿经甲硝唑口服治疗。
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