Harrison H R, Crowe C P, Fulginiti V A
Pediatrics. 1979 Dec;64(6):923-8.
Amebiasis, that is, infection with Entameba histolytica, continues to be endemic in the United States, with liver abscess occurring as an infrequent but constant complication. Seven cases are reported, with epidemiologic investigation of two. Reliable findings in hepatic abscess include fever, abdominal pain, respiratory distress, tender abdomen, and large, tender liver. Anemia, elevated white count with left shift, and the radiographic findings of an elevated right hemidiaphragm are constant. Epidemiologically, amebiasis occurs in clusters in the United States with person-to-person transmission predominant in spread. Infection is associated with poor sanitation and crowding. Investigation of the families of two patients documented 9/21 carriers and an additional 3/21 who were seropositive, as well as crowding and poor sanitation. In this country, treatment of a patient with amebic disease should include investigation of his home and family.
阿米巴病，即溶组织内阿米巴感染，在美国仍然是一种地方病，肝脓肿是一种不常见但持续存在的并发症。本文报告了7例病例，并对其中2例进行了流行病学调查。肝脓肿的可靠表现包括发热、腹痛、呼吸窘迫、腹部压痛以及肿大、有触痛的肝脏。贫血、白细胞计数升高伴核左移以及右半膈抬高的影像学表现是常见的。在流行病学方面，美国的阿米巴病呈聚集性发生，人与人之间的传播是主要传播方式。感染与卫生条件差和人群拥挤有关。对2例患者家属的调查记录了21人中有9人携带病原体，另外21人中有3人血清学呈阳性，还发现了人群拥挤和卫生条件差的情况。在这个国家，对阿米巴病患者的治疗应包括对其家庭的调查。
