García-Forcada A, Sans M, Gascón J, Valls M E, Bru C, Corachán M
Sección de Medicina Tropical, Hospital Clínic i Provincial, Barcelona.
Med Clin (Barc). 1995 Oct 28;105(14):537-40.
Amebian hepatic abscess (AHA) is the most frequent extraintestinal localization of infection by Entamoeba histolytica. Despite being a disease mainly of tropical zones, it is currently also observed with higher frequency in Spain. Thirteen cases of AHA diagnosed in the authors' hospital over the last 11 years were retrospectively analyzed comparing the data in this series with that of other published series and undertaking a review of this subject. The diagnosis of AHA was established on the basis of the clinical picture together with specific positive serology and compatible echographic imaging. The series was composed of 9 males and 4 females with a mean age of 38.7 years (range 25-55). Five were Spanish, and 8 were immigrants from tropical countries. In 61.5% of the cases echographically guided aspiration puncture was performed with placement of percutaneous drainage being carried out in 38%. Eighty-five percent of patients were treated with more than one amebicide drug (metronidazole or tinidazole together with chloroquine and dehydroemetine). Luminal amebicides were administered lastly. Laparotomy was required in 3 cases due to the presence of complications. No deaths were observed.
阿米巴肝脓肿（AHA）是溶组织内阿米巴感染最常见的肠外定位。尽管它主要是热带地区的疾病，但目前在西班牙也有较高的发病率。回顾性分析了作者所在医院在过去11年中诊断的13例AHA病例，将本系列数据与其他已发表系列的数据进行比较，并对该主题进行了综述。AHA的诊断基于临床表现、特异性阳性血清学检查以及相符的超声影像学检查结果。该系列包括9名男性和4名女性，平均年龄38.7岁（范围25 - 55岁）。其中5名是西班牙人，8名是来自热带国家的移民。61.5%的病例进行了超声引导下穿刺抽吸，38%的病例进行了经皮引流。85%的患者接受了不止一种抗阿米巴药物治疗（甲硝唑或替硝唑联合氯喹和去氢依米丁）。最后使用肠内抗阿米巴药物。3例因出现并发症需要进行剖腹手术。未观察到死亡病例。
