Barbiero Anna, Trevisan Sasha, Manciulli Tommaso, Mencarini Jessica, Cavallo Annalisa, Fiorelli Costanza, Bartoloni Alessandro, Spinicci Michele, Zammarchi Lorenzo
Experimental and Clinical Medicine Department, University of Florence, Florence, Italy.
Infectious and Tropical Diseases Unit, Careggi University Hospital, Florence, Italy.
Case Rep Infect Dis. 2025 Aug 21;2025:9933233. doi: 10.1155/crdi/9933233. eCollection 2025.
Despite being relatively common in endemic settings, amoebic liver abscesses are rarely diagnosed in high-resource countries, where they are usually imported by migrants or travelers to endemic areas. Between 2010 and 2024, we observed two cases of amoebic liver abscess that were successfully managed in a tertiary-care center in Italy. In both cases, the infection was contracted in Colombia. Given the high morbidity and mortality associated with nontreated amoebic liver abscesses, this report aims at underlying the importance of travel history and of considering amoebic liver abscess among the differential diagnoses for people coming from endemic countries with compatible clinical presentations. Prompt diagnosis and treatment are of paramount importance for favorable clinical outcomes.
尽管阿米巴肝脓肿在地方流行地区相对常见，但在资源丰富的国家很少被诊断出来，在这些国家，它们通常是由移民或前往地方流行地区的旅行者带入的。2010年至2024年期间，我们在意大利的一家三级护理中心观察到两例成功治愈的阿米巴肝脓肿病例。在这两例病例中，感染均发生在哥伦比亚。鉴于未经治疗的阿米巴肝脓肿具有较高的发病率和死亡率，本报告旨在强调旅行史的重要性，并指出对于来自地方流行国家且临床表现相符的患者，在鉴别诊断中应考虑阿米巴肝脓肿。及时诊断和治疗对于取得良好的临床结果至关重要。
