Ciencias Médicas. Enero-febrero, ; 19(1): Absceso hepático amebiano, presentación atípica. An atypical presentation of amoebic hepatic abscess. Request PDF on ResearchGate | On Dec 1, , P. Palacián Ruiz and others published Absceso hepático amebiano. El absceso hepático amebiano (AHA) es la manifestación extraintestinal más frecuente de la amebiasis. El AHA es resultado de la invasión de Entamoeba.

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In Spain, during the last decade, there has been an increase in the number of autochthonous cases. Mortality rates and mean hospital stay are shown in table IV. Rev Clin Esp ; A total of The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years.

Gastroenterol Clin North Am ; The micro-organisms isolated from the pyogenic abscesses were: During the two decades studied, 45 patients were diagnosed with PLA caused by bacteria, and there were 13 cases of ALA.

Sonography in diagnosis and treatment. Med Clin Bar ; Los abscesos fueron solitarios en 25 casos. The serological test for E. Antibiotic therapy without drainage was carried out in 10 patients one recurred and needed surgery due to biliary stenosis. The average hospital stay of those patients who were treated with percutaneous drainage was shorter than that of those treated with surgery 21 versus 40 days.

Service of Digestive Diseases. The risk of rupture is higher in left-lobe abscesses, due to the smaller size of this lobe and the lack of space for a growing mass 2. The treatment for ALA consists of the intraluminal and systemic administration of amoebacides as soon as possible. He denied respiratory symptoms or changes in bowel habit. The most commonly used antibiotic combination were third generation cephalosporins with metronidazole, alone or with aminoglycosides 17 casesimipenem or piperacillin-tazobactam 16and aminoglycosides with metronidazole 5.


There is often leukocytosis and abnormal liver profile. Aspirate from the abscess was thick in consistency and reddish, “chocolate” coloured, with negative microscopic examination for organisms.

Translators working for the Journal are in charge of the corresponding translations. Amoebic versus pyogenic liver abscess. The risk of developing a pyogenic abscess in diabetic people and in those suffering from malignant tumours is tenfold higher than that of the general population; in patients who have undergone liver transplantation it is times higher 2. Surgical treatment should be reserved for instances of rupture of the abscess or amebino that is xbsceso solved with medical treatment 2, Estudio de una serie de 45 casos.

N Engl J Med,pp.

J Hepatol ; Cir Esp ; Subscribe to our Newsletter. Diagnosis and management of amebiasis. The approximate incidence of amoebic liver abscess ALA in Guipuzcoa is of 0.

The Journal is published both in Spanish and English. Am J Gastroenterol ; Abscesses secondary to ascending cholangitis and of unknown origin are the most common.

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Abdominal ultrasonography and computed tomography showed a hypodense collection, 7,5 x 5 cm in diameter, in segment II of the left lobe of the liver, heterogeneous and with rim enhancement, protruding from the liver surface.

Therefore, the submission of manuscripts written in either Spanish or English is welcome. Hospital de la S. En Harrison’s Principles of Internal Medicine. In the case of amebic liver infection, the role of humoral immunity in protection has not been well established but it is important in seroidemiological studies and for diagnostic methods.

Barbour GL, Juniper K. In the case that we report the percutaneous aspiration was required because of false negative serology for amebiasis and the absence of epidemiologic risk factors.


You can change the settings or obtain more information by clicking here. See more Access to any published article, in either language, is possible through the Journal web page as well as from Pubmed, Science Direct, and other international databases. Abdominal contrast CT is the technique of choice for the diagnosis of liver abscesses.

In amoebic abscesses several methods were used: A second blood cultures were sterile. Pyogenic versus amoebic liver abscesses. CT-guided percutaneous drainage was carried out in 6 cases 5 of them with abscess sizes exceeding 10 cmand surgery in 4 cases.

Gastroenterol Hepatol ; 9: Abscesi admission, the temperature was 39ordm; C, his abdomen was tender in the right upper quadrant, with voluntary guarding but negative Murphy and Blumberg signs. We report a case of an amebic abscess, initially unsuspected due to the absence of epidemiologic risk factors and the negative serology for amebiasis, in the early stages of the disease.

Absceso hepático piógeno versus amebiano: Estudio clínico comparativo de una serie de 58 casos

This procedure was successful in 18 full recovery The limitations of this study are its retrospective, observational nature, and that it includes a relatively small number of cases compared to other Central and South American Asian studies.

Asymptomatic carrier of hepatitis B surface antigen Amebuanowith normal liver profile.

SRJ is a prestige metric based on the idea that not all citations are the same. PHA has a variable occurrence in the population according to concomitant diseases.