A rare case of multilocus brain abscess due to Entamoeba histolytica infection in a child
| Autor: | Sevil Gökbulut, Emin Sami Arısoy, Gülden Sönmez Tamer, Selim Öncel |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
biology business.industry medicine.medical_treatment Case Report General Medicine medicine.disease biology.organism_classification Meropenem Surgery Metronidazole Entamoeba histolytica Intravenous therapy Swallowing problems parasitic diseases Rare case Entamoeba histolytica Infection Medicine business Brain abscess medicine.drug |
| Zdroj: | Saudi Medical Journal |
| ISSN: | 1658-3175 0379-5284 |
| DOI: | 10.15537/smj.2015.3.10178 |
| Popis: | Brain abscess due to Entamoeba histolytica (E. histolytica) may pose a diagnostic problem or a therapeutic challenge, as evidenced by the paucity of papers reporting complete recovery after treatment. An 11-year-old girl presented with progressive drowsiness, diminished movements of the left upper limb, and swallowing problems. Cranial MRI showed multiple, contrast-dense masses with fluid content. She was started on meropenem. Surgical drainage was performed. No bacterial or fungal growth was observed in drainage samples. Entamoeba histolytica trophozoites were detected in the tissue sample. Intravenous metronidazole was started and continued for 6 weeks, at the end of which abscesses were found and to have shrunk considerably. Intravenous therapy was switched to oral metronidazole, which was continued for 2 weeks. She regained all her preexisting abilities. Multiple brain abscesses due to E. histolytica is a very rare occurrence, and histopathologic evaluation is important in diagnosis. Saudi Med J 2015; Vol. 36 (3): 356-358 doi: 10.15537/smj.2015.3.10178 |
| Databáze: | OpenAIRE |
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