Hepatic amebiasis: a reminder of the complications

Curr Opin Pediatr. 2009 Feb;21(1):145-9. doi: 10.1097/MOP.0b013e32831ef249.

Abstract

The complications of amebic liver abscess are underappreciated in developed countries and are often misdiagnosed. We report a 16-month-old male child with amebic liver abscess, initially misdiagnosed with pneumonia, who became critically ill with peritoneal, pleural and pericardial extension, and gastric perforation. In addition to highlighting the complications of amebic liver abscess, this case demonstrates the value of PCR testing as a diagnostic and molecular tool.

Publication types

  • Case Reports
  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Antiprotozoal Agents / therapeutic use
  • Diagnosis, Differential
  • Drainage
  • Entamoeba histolytica / genetics
  • Entamoeba histolytica / isolation & purification
  • Genotype
  • Humans
  • Infant
  • Liver Abscess, Amebic / diagnosis*
  • Liver Abscess, Amebic / drug therapy
  • Liver Abscess, Amebic / parasitology
  • Liver Abscess, Amebic / surgery
  • Male
  • Metronidazole / therapeutic use
  • Paromomycin / therapeutic use
  • Pericardial Effusion / diagnosis*
  • Pericardial Effusion / drug therapy
  • Pericardial Effusion / parasitology
  • Pericardial Effusion / surgery
  • Peritonitis / diagnosis*
  • Peritonitis / drug therapy
  • Peritonitis / parasitology
  • Peritonitis / surgery
  • Pleural Effusion / diagnosis*
  • Pleural Effusion / drug therapy
  • Pleural Effusion / parasitology
  • Pleural Effusion / surgery
  • Pneumonia / diagnosis
  • Stomach Rupture / diagnosis*
  • Stomach Rupture / drug therapy
  • Stomach Rupture / parasitology
  • Stomach Rupture / surgery
  • Tomography, X-Ray Computed
  • Trophozoites / parasitology

Substances

  • Antiprotozoal Agents
  • Metronidazole
  • Paromomycin