Presentation
Patients presenting at University of California, Los Angeles Hospital with acute abdominal injuries who underwent exploratory laparotomy and subsequently were found to have an amebic hepatic abscess were studied. [ncbi.nlm.nih.gov]
Here, the author reports the clinical presentations of the amebic liver abscess in 62 Thai patients. The author also presents some notification on the clinical presentations among the HIV seropositive and HIV seronegative patients in our series. [bmcfampract.biomedcentral.com]
Entire Body System
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Chills
Most of the patients were suffering from abdominal pain (85.5 %), fever and chills (74.2 %), and abdominal tenderness (69.4 %; Table 2 ). [bmcfampract.biomedcentral.com]
Chills and fever had begun 4 days earlier, followed by epigastric discomfort and vomiting. All symptoms persisted until the time of admission. [nejm.org]
But people with amebic liver abscess do have symptoms, including: Abdominal pain, more so in the right, upper part of the abdomen; pain is intense, continuous or stabbing Cough Fever and chills Diarrhea (in only one-third of patients) General discomfort [medlineplus.gov]
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Intravenous Administration
The drug also is available for intravenous administration for those patients who are unable to take medication by the oral route. Resolution of symptoms is fairly rapid and is observed within 3 days in most patients in the United States. [emedicine.medscape.com]
Gastrointestinal
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Regurgitation
There exists a higher prevalence of mitral valve abnormalities in patients with PCLD. [5] which was true in our case also (mitral regurgitation II/IV). It is common to encounter cases of ALA, especially in endemic areas. [mjdrdypu.org]
Jaw & Teeth
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Periodontitis
[…] abscess a localized collection of pus in the periodontal tissue. peritonsillar abscess a localized accumulation of pus in the peritonsillar tissue subsequent to suppurative inflammation of the tonsil; called also quinsy. phlegmonous abscess one associated [medical-dictionary.thefreedictionary.com]
Urogenital
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Dark Urine
Dark urine may occur from a metabolite of the drug. Other items to consider Other considerations include the following: No randomized controlled trials exist that demonstrate the benefits of combination therapy over monotherapy. [emedicine.medscape.com]
Workup
[…] examination of the lung revealed trophozoites of Entamoeba histolytica. a, b Haematoxylin Eosin (HE) stain; c, d Periodic acid–Schiff (PAS) stain; arrows refer to the amoebic trophozoites) Fig. 4 The timeline of the patient’s medical history, diagnostic workup [idpjournal.biomedcentral.com]
Microbiology
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Vibrio Vulnificus
vulnificus intoxication A05.8 Other specified bacterial foodborne intoxications A05.9 Bacterial foodborne intoxication, unspecified A06 Amebiasis A06.0 Acute amebic dysentery A06.1 Chronic intestinal amebiasis A06.2 Amebic nondysenteric colitis A06.3 [icd10data.com]
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Neisseria Gonorrhoeae
Cultures should be obtained to rule out infections by Neisseria gonorrhoeae or Chlamydia. Bezold's abscess one deep in the neck resulting from a complication of acute mastoiditis. [medical-dictionary.thefreedictionary.com]
Treatment
The remaining three lesions showed slightly increased or decreased hepatic echogenicity after treatment. [ncbi.nlm.nih.gov]
Treatment is usually a combination of drainage and prolonged antibiotic therapy. [leehealth.org]
Antibiotics such as metronidazole (Flagyl) or tinidazole (Tindamax) are the usual treatment for liver abscess. [pennstatehershey.adam.com]
Prognosis
For simple abscess, the prognosis is excellent. [ncbi.nlm.nih.gov]
Etiology
(Etiology) Amebic Liver Abscesses are caused by the parasite Entamoeba histolytica. When the parasite enters the body, it usually travels to the intestines. [dovemed.com]
Etiology and pathology of amebic liver abscess, Lancet, 1:463, 1922. CrossRef Google Scholar 5. Rogers, Sir Leonard and Megaw, J. W. D.: Tropical Medicine, Philadelphia, P. Blakiston’s Son and Co., 1930. Google Scholar 5a. [springerlink.com]
PubMed Google Scholar Branum GD, Tyson GS, Branum MA, Meyers WC: Liver abscess: changes in etiology, diagnosis, and management. Ann Surg. 1990, 212: 655-62. [bmcfampract.biomedcentral.com]
The etiology diagnosis and treatment of amebiasis. Baltimore : Williams & Wilkins Co. 1944 viii 332 pp. Craig C. F. The etiology diagnosis and treatment of amebiasis. Baltimore: Williams & Wilkins Co. 1944 viii 332 pp. [thejns.org]
Epidemiology
Epidemiologically, amebiasis occurs in clusters in the United States with person-to-person transmission pre-dominant in spread. Infection is associated with poor sanitation and crowding. [pediatrics.aappublications.org]
In this article the most recent available information is reviewed relating to epidemiology, pathogenesis, presentation, diagnosis, and treatment. [ncbi.nlm.nih.gov]
A comprehensive, and profusely illustrated description of the common and uncommon images which will be found in a wide range of tropical diseases, correlated with the clinical and laboratory findings, and the epidemiology and pathology. [books.google.com]
Pathophysiology
This article reviews epidemiologic features, pathophysiology, clinical features, diagnostic tests, imaging studies, treatment of amebic liver abscess, and prevention measures. [ncbi.nlm.nih.gov]
Highly detailed discussion of the pathophysiology and immune evasion of amebiasis. PubMed Google Scholar 27. Aucott JN, Ravdin JI: Amebiasis and ’nonpathogenic’ intestinal protozoa. Infect Dis Clin North Am 1993, 7 :467–485. [link.springer.com]
Prevention
This article reviews epidemiologic features, pathophysiology, clinical features, diagnostic tests, imaging studies, treatment of amebic liver abscess, and prevention measures. [ncbi.nlm.nih.gov]
Prevention When traveling in tropical countries with poor sanitation, drink purified water and do not eat uncooked vegetables or unpeeled fruit. Symptoms There are usually no symptoms of intestinal infection. [account.allinahealth.org]
A drug such as paromomycin or diloxanide must also be taken to get rid of all the ameba in the intestine and to prevent the disease from coming back. This treatment can usually wait until after the abscess has been treated. [ufhealth.org]