An atypical presentation of amoebic hepatic abscess

Authors

  • Eduardo Crespo Ramirez Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Humberto Guanche Garcell Hospital Clínico Quirúrgico" Joaquín Albarran", La Habana.
  • Mario Ruz Hernández Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Mirtha Castañeda Hernández Hospital General "Comandante Pinares". San Critobal. Artemisa.

Keywords:

Entoamebahistolytica, Absceso hepático.

Abstract

Introduction: amoebic hepatic abscess is the extraintestinal manifestation of an infection by entamoeba histolytica. Estimations are made that 10% of the world population has been infected by the parasite, being more frequent in tropical regions, where overcrowding and bad sanitary conditions occur. Africa, Latin America, Southeast Asian and India have considerable health problems, resulting from this disease. In Cuba amebiasis has been proved not to be one of the most frequent parasitism cases.
Case presentation: male patient of age 48 years and of Indian nationality, presenting clinical findings, which proves a unique lesion in the right liver lobule, diagnosed by ultrasound scan and nuclear magnetic resonance. The presence is confirmed of serum antibodies against entamoeba histolytica. Treatment with metronidazole produced clinical and radiological improvement.
Conclusions: atypical clinical presentation constitutes a remarkable element worthy considered in daily clinical practice.

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Author Biographies

Eduardo Crespo Ramirez, Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.

Especialista de Medicina General Integral. Especialista de Primer Grado en Gastroenterologia. Máster en Longevidad satisfactoria. Asistente.

Humberto Guanche Garcell, Hospital Clínico Quirúrgico" Joaquín Albarran", La Habana.

Especialista de Segundo Grado en Epidemiología y Primer Grado en Medicina Interna. Máster en Infectología. Profesor Auxiliar. Investigador Auxiliar.

Mario Ruz Hernández, Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.

Especialista de Segundo Grado en Medicina Interna. Máster en Infectología. Profesor Auxiliar.

Mirtha Castañeda Hernández, Hospital General "Comandante Pinares". San Critobal. Artemisa.

Especialista de Primer Grado en Radiología y Medicina General Integral. Máster en Atención Integral a la Mujer. Instructora.

References

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Published

2015-02-28

How to Cite

1.
Crespo Ramirez E, Guanche Garcell H, Ruz Hernández M, Castañeda Hernández M. An atypical presentation of amoebic hepatic abscess. Rev Ciencias Médicas [Internet]. 2015 Feb. 28 [cited 2025 Aug. 25];19(1):126-33. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/2011

Issue

Section

CASE REPORTS