Hepatic amebiasis: a reminder of the complications.
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.
Rao
Suchitra
S
Division of Infectious Diseases, Department of Pediatrics, University of Colorado Health Sciences Center and The Children's Hospital, Denver, Colorado, USA.
Solaymani-Mohammadi
Shahram
S
Petri
William A
WA
Parker
Sarah K
SK
D000818:Animals; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004322:Drainage; D004748:Entamoeba histolytica / Q000235:genetics / Q000302:isolation & purification; D005838:Genotype; D006801:Humans; D007223:Infant; D008101:Liver Abscess, Amebic / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology / Q000601:surgery; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use; D010303:Paromomycin / Q000627:therapeutic use; D010490:Pericardial Effusion / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology / Q000601:surgery; D010538:Peritonitis / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology / Q000601:surgery; D010996:Pleural Effusion / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology / Q000601:surgery; D011014:Pneumonia / Q000175:diagnosis; D013275:Stomach Rupture / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D053058:Trophozoites / Q000469:parasitology
D000981:Antiprotozoal Agents; D008795:Metronidazole; D010303:Paromomycin