[Hepatic amebiasis in Bujumbura (Burundi). Apropos of 27 cases observed within a 16-month period].
The authors report on an experience in Africa about 27 cases of amoebic hepatitis diagnosed and treated in the University Hospital of Kamenge (Burundi) during a period of 16 months. Diagnosis was made mainly by liver ultrasonography and serological test (passive hemagglutination test). Classical clinical form was noted in 63% of the cases, atypical forms in 10 cases out of 27, mainly pseudoneoplastic ones (4 cases). Ultrasonography utilized 25 times displayed one or several liver abscesses in 20 cases. Serological test was positive greater than or equal to 128 in 25 cases out of 26. It has to be noticed that one case with a serodiagnosis at 1/32 (controlled) presented multiple liver abscesses through ultrasonography, and that the five cases with non significant ultrasonography had all a serodiagnosis greater than or equal to 128. This demonstrates the necessity of ultrasonographic control, as the intrahepatic collection might be delayed. Surgical treatment was applied to 6 patients, i.e. about 20% of the cases. The authors prefer actually puncture and drainage under ultrasonography, with exception in complicated forms and pseudoneoplastic ones.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002063:Burundi; D002648:Child; D005260:Female; D006801:Humans; D008101:Liver Abscess, Amebic / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
L'amibiase hépatique à Bujumbura (Burundi). A propos de 27 cas observés en 16 mois.