First case of amebic liver abscess 22 years after the first occurrence

Autor: Nespola Benoît, Betz Valérie, Brunet Julie, Gagnard Jean-Charles, Krummel Yves, Hansmann Yves, Hannedouche Thierry, Christmann Daniel, Pfaff Alexander W., Filisetti Denis, Pesson Bernard, Abou-Bacar Ahmed, Candolfi Ermanno
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Parasite, Vol 22, p 20 (2015)
Druh dokumentu: article
ISSN: 1776-1042
DOI: 10.1051/parasite/2015020
Popis: A 72-year-old man consulted in November 2012 for abdominal pain in the right upper quadrant. The patient had a history of suspected hepatic amebiasis treated in Senegal in 1985 and has not traveled to endemic areas since 1990. Abdominal CT scan revealed a liver abscess. At first, no parasitological tests were performed and the patient was treated with broad-spectrum antibiotics. Only after failure of this therapy, serology and PCR performed after liver abscess puncture established the diagnosis of hepatic amebiasis. The patient was treated with metronidazole and tiliquinol-tilbroquinol. Amebic liver abscess is the most frequent extra-intestinal manifestation. Hepatic amebiasis 22 years after the last visit to an endemic area is exceptional and raises questions on the mechanisms of latency and recurrence of these intestinal protozoan parasites.
Databáze: Directory of Open Access Journals