Ramachandran S, Shanmuganathan S S, Nagarajah N
J Trop Med Hyg. 1976 May;79(5):97-101.
Serum proteins were estimated in two patient groups, namely (i) 20 cases with proven ameobic liver abscess and (ii) 12 cases with hepatic amoebiasis without demonstrable pus, commonly referred to by the misnomer 'ameobic hepatitis'. In amoebic liver abscess a fall in albumin and an increase in alpha 2 and gamma globulin results in a serum protein pattern somewhat different from that in hepatic amoebiasis without demonstrable pus, where an elevation in gamma globulin was infrequent. Post-therapy serum protein estimations revealed that, irrespective of the presence or absence of pus, a rising gamma globulin level in hepatic amoebiasis may be of prognostic significance and post-treatment surveillance would be necessary in patients showing this type of response.
对两组患者的血清蛋白进行了评估,即:(i)20例已确诊为阿米巴肝脓肿的病例,以及(ii)12例无明显脓液的肝阿米巴病病例,后者通常被误称为“阿米巴肝炎”。在阿米巴肝脓肿中,白蛋白降低以及α2和γ球蛋白升高导致血清蛋白模式与无明显脓液的肝阿米巴病有所不同,在无明显脓液的肝阿米巴病中,γ球蛋白升高并不常见。治疗后血清蛋白评估显示,无论有无脓液,肝阿米巴病中γ球蛋白水平升高可能具有预后意义,对于表现出这种反应类型的患者,治疗后监测是必要的。