Ultrasonography in the diagnosis and management of 52 patients with amebic liver abscess in Cairo
| Autor: | Laila Ahmed, G. Thomas Strickland, M. Ibrahim Kassem, Abushady El Rooby, Zakaria A. Salama |
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| Rok vydání: | 1990 |
| Předmět: |
Microbiology (medical)
Adult Male medicine.medical_specialty Adolescent Pleural effusion Metronidazole medicine Humans Cyst Amoebiasis Leukocytosis Abscess Child Aged Ultrasonography business.industry Jaundice Middle Aged medicine.disease Empyema Surgery Infectious Diseases medicine.anatomical_structure Liver Child Preschool Liver Abscess Amebic Abdomen Egypt Female medicine.symptom business |
| Zdroj: | Reviews of infectious diseases. 12(2) |
| ISSN: | 0162-0886 |
| Popis: | Clinical characteristics of 52 patients with amebic liver abscess are reported. Forty-two percent had an acute illness, usually with high fever, vomiting, sweating, pain in the abdominal right upper quadrant, and leukocytosis. The other 58% had a more chronic illness, usually with a dull ache in the right upper abdomen, weight loss, fatigue, moderate or low-grade pyrexia, and anemia. Hepatomegaly and hepatic tenderness were present in all patients; fever occurred in 75%. The diagnosis was strongly suggested by amebic antibodies in high titer and hepatic abscesses demonstrated by sonography. Mean abscess diameter was 9.2 cm; 37% were larger than 10 cm. Most abscesses were solitary (81%), in the right lobe (73%), rounded or oval (78%), cystic (57%), and had a well-defined wall (53%). However, 43% were initially solid or heterogeneous. The latter lesions always developed a cystic pattern when ultrasonography was repeated. The diagnosis was confirmed by a good clinical response to metronidazole in 50 patients. Complications included right-sided pleural effusions or empyema (13%), ascites (13%), and jaundice (13%). Drainage of large abscesses was performed in four patients. All 52 patients survived and were cured. |
| Databáze: | OpenAIRE |
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