Spinazzola F, Zechini F
Divisione di Malattie Infettive, Ospedale L. Spallanzani, USL RM/10, Roma.
Riv Eur Sci Med Farmacol. 1994 Jan-Apr;16(1-2):3-5.
Amoebiasis is an infection of the large intestine produced by the protozoan Entamoeba histolytica. More than 10% of the world population is estimated to be infected. The italian pattern of this infection is similar to the EEC trend: the prevalence is approximately 0.012% during the years '88 and '89. Hepatic abscesses usually present with moderate fever, weight loss and abdominal pain. During the last ten years nine patients with amoebic liver abscesses were admitted to our hospital, six males and three females (all had acquired the infection in tropical countries). After ultrasonographic and computed tomography scanning evaluation, all patients were treated with metronidazole at the dosage of 750 mg three times a day for a period ranging from 30 to 60 days. In five patients Chloroquine was added at the dosage of 1.2 g a day for fourteen days. In five patients became necessary a surgical drainage under ultrasonographic control.
阿米巴病是由原生动物溶组织内阿米巴引起的大肠感染。据估计,全球超过10%的人口受到感染。这种感染在意大利的模式与欧洲经济共同体的趋势相似:在1988年和1989年期间,患病率约为0.012%。肝脓肿通常表现为中度发热、体重减轻和腹痛。在过去十年中,有9例阿米巴肝脓肿患者入住我院,6例男性,3例女性(均在热带国家感染)。经过超声和计算机断层扫描评估后,所有患者均接受甲硝唑治疗,剂量为750毫克,每日3次,疗程为30至60天。5例患者加用氯喹,剂量为每日1.2克,共14天。5例患者需要在超声引导下进行手术引流。