[Febrile status in a traveler returning from the tropics with right-sided upper abdominal pain].
This is a case report of a patient who presented multiple liver abscesses with Entamoeba histolytica five weeks after returning from an one-month trip to Thailand. This makes clear that a febrile patient returning from the tropics may not only be suspected of malaria, but that we should think about other possible febrile diseases. Respecting the incubation period and other clinical symptoms and signs, we are in most of the cases able to reduce the differential diagnosis to only a few possible ones. Diagnosis, treatment and follow-up are discussed. It is important to know that ultrasonography offers much help in the follow-up but that it may last months or more than one year to normalize the sonographic feature.
Weibel
R
R
Medizinische Klinik, Kantonsspital Olten.
D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D003937:Diagnosis, Differential; D005334:Fever / Q000209:etiology*; D006801:Humans; D008101:Liver Abscess, Amebic / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008288:Malaria / Q000175:diagnosis; D008297:Male; D009950:Ornidazole / Q000627:therapeutic use; D014195:Travel
D009950:Ornidazole