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Amebic hepatic abscess in children

Gayathri Satish, L Rajam, Sukhmani Regi, P K Nazar
Amoebiasis, a common parasitic infection in the tropics is most commonly associated with solitary liver abscess. Multiple hepatic, splenic and renal abscesses are a very rare presentation of extraintestinal amoebiasis in children. The authors report a 6-y-old girl who presented with a febrile illness, hepatosplenomegaly and erythema nodosum and was diagnosed to have multiple amoebic abscesses by imaging and aspiration cytology of a liver abscess. This is also the first case report of the association of erythema nodosum with extraintestinal amoebiasis in children...
April 2012: Indian Journal of Pediatrics
No abstract text is available yet for this article.
July 1963: Boletín Médico del Hospital Infantil de México
No abstract text is available yet for this article.
1956: Archives Françaises de Pédiatrie
S M Shamsuzzaman, Y Hashiguchi
Pleuropulmonary amebiasis is the common and pericardial amebiasis the rare form of thoracic amebiasis. Low socioeconomic conditions, malnutrition, chronic alcoholism, and ASD with left to right shunt are contributing factors to the development of pulmonary amebiasis. Although no age is exempt, it commonly occurs in patients aged 20 to 40 years, with an adult male to female ratio of 10:1. Children rarely develop thoracic amebiasis: when it does occur there is an equal sex distribution. The infection usually spreads to the lungs by extension of an amebic liver abscess...
June 2002: Clinics in Chest Medicine
R Haque, N U Mollah, I K Ali, K Alam, A Eubanks, D Lyerly, W A Petri
A noninvasive diagnostic test for amebic liver abscess is needed, because amebic and bacterial abscesses appear identical on ultrasound or computer tomography and because it is rarely possible to identify Entamoeba histolytica in stool specimens from patients with amebic liver abscess. Here we report a method of detection in serum of circulating E. histolytica Gal/GalNAc lectin to diagnose amebic liver abscess, which was used in patients from Dhaka, Bangladesh. The TechLab E. histolytica II test (which differentiates the true pathogen E...
September 2000: Journal of Clinical Microbiology
R L Meyers, E R Scaife
There is a remarkable diversity of conditions encompassed by benign liver masses in infants and toddlers. The most common benign hepatic tumor in this age group is infantile hepatic hemangioendothelioma. Other commonly seen benign tumors are mesenchymal hamartoma and focal nodular hyperplasia. Hepatic adenoma is almost exclusively a disease of older children; primary hepatic teratoma is exceedingly rare. There are several distinguishing characteristics of these benign tumors on radiographic evaluation; however, imaging techniques such as ultrasound scan, computed tomography, and angiography are not always reliable in differentiating benign from malignant tumors...
August 2000: Seminars in Pediatric Surgery
K D Lyche, W A Jensen
Amebiasis is the third leading parasitic cause of death in the world. Approximately 500 million people worldwide are infected with Entamoeba histolytica. Invasive disease is more common in the immunosuppressed, pregnant women, children, and alcoholics. Amebic colitis and liver abscess are the most common intestinal and extraintestinal manifestations of E. histolytica infection. Pleuropulmonary complications occur almost exclusively in individuals with a liver abscess. Common pleuropulmonary complications include right-sided sympathetic effusions, empyema, basilar atelectasis, lung infiltration, and lung abscess...
June 1997: Seminars in Respiratory Infections
G Porras-Ramírez, M H Hernández-Herrera, J D Porras-Hernández
The authors retrospectively reviewed all case histories of children with amebic hepatic abscess treated from 1975 to 1993 at their hospital. Twenty boys and 12 girls were diagnosed. Their ages ranged from 10 months to 12 years, with a mode of 1 and 2 years. In 17 (53%) of the patients, the abscess remained confined to the liver and was treated medically with dehydroemetine and metronidazole. Imminence of complication was present in 9 patients (52%), and required percutaneous needle aspiration. Imminence of complication was evidenced by: (1) clinical worsening of the patient despite adequate medical treatment, (2) presence of an abscess of 6 cm or more in a septic patient, or (3) clinical or ultrasonographic findings of an abscess on the verge of rupture...
May 1995: Journal of Pediatric Surgery
A C Dykes, T K Ruebush, L Gorelkin, W B Lushbaugh, J K Upshur, J D Cherry
Three infants (aged 6 weeks, 7 weeks, and 10 months) had severe Entamoeba histolytica infections characterized by colitis, hepatic abscesses, and peritonitis. The two younger children died after fulminant illnesses while the third recovered. Diagnosis was delayed in all three children by a low index of suspicion and negative stool examinations for parasites. Epidemiologic investigations of the infants' families revealed a high prevalence of amebic infections and elevated antibody titers to E histolytica; however, most family members were asymptomatic...
April 1980: Pediatrics
U Omanga, M Mashako
This retrospective study of hepatic amoebiasis cases observed in the clinic of Pediatrics from 1964 to 1979 brings evidence of its low frequency in children. The disease is mainly observed in young patients from 1 to 6 years (76,5%) and specially in males. Suspected from the evidence of a tender and enlarged liver associated with fever, the diagnosis is rapidly confirmed by a highly positive specific serology. Prognosis is severe with complications in 7% and death in 15% of the cases. Treatment is essentially medical and based on metronidazole...
July 1981: Médecine Tropicale: Revue du Corps de Santé Colonial
P W Ralls, V G Mikity, P Colletti, D Boger, J Halls, M F Quinn
Hepatic amebic abscess is a potentially fatal infection which is difficult to diagnose in children. Sonography is an ideal non-invasive imaging tool which can prove invaluable in the diagnosis and management of hepatic amebic abscess. Sonographic findings should suggest the correct diagnosis in most instances. This allows prompt initiation of therapy, forestalling life-threatening complications. Sonography is also an extremely useful non-invasive means of following response to therapy in children with hepatic amebic abscesses...
1982: Pediatric Radiology
A Haffar, F J Boland, M S Edwards
Five children with amebic liver abscesses are presented, and the distinctive clinical and laboratory features for these and 119 other children are described. The majority (91%) were less than 3 years old, and 77% had an isolated abscess in the right hepatic lobe. Each child presented with a history of fever and gastrointestinal symptoms, and two-thirds presented with cough or difficulty breathing. Most (81%) patients had hepatomegaly on physical examination and some had a well-defined mass. Hematologic abnormalities including anemia, neutrophilia and an increased ratio (greater than 0...
September 1982: Pediatric Infectious Disease
C Huscher, G Taglietti, M Huscher
The peritonitis from the rupture of the amebic liver's abscess is a not rare complication of the hepatic amebiasis in the children, with a poor prognosis. The usual treatment is loaded with a high morbility and mortality. The AA show a therapeutic screen based on saucerization with debridment and on the installation of a disposal of peritoneal washing. The above mentioned treatment is looking at the recovery of the organ and consequently at the direct removal of the "primum movens" of the septic shock and generalized peritonitis...
November 1982: La Pediatria Medica e Chirurgica: Medical and Surgical Pediatrics
S Laurin, J V Kaude
Seven children with hepatic and one with splenic abscess were evaluated using at least two of the following imaging modalities: ultrasound, radionuclide liver-spleen scan, computed tomography (CT) and angiography. Seven children had pyogenic, and one mixed pyogenic-amebic abscess. In all cases ultrasound demonstrated the lesions, which in 6/7 of hepatic abscesses were located only to the right liver lobe. 99mTc -sulphur colloid liver-spleen scans were positive in 4/4 cases while 67Ga failed to demonstrate 2/2 lesions...
1984: Pediatric Radiology
T H Bothwell, E B Adams, M Simon, C Isaacson, A E Simjee, S Kallichurum, V Gathiram
Hepatic iron concentrations were measured in 60 Black patients who had died of amoebiasis. There were 18 infants and young children, 30 adult males and 12 adult females. The mean hepatic iron concentration in infants was normal (0,11% dry weight), while those in adult males and females were significantly raised (0,64% and 0,30% dry weight respectively). The figures for adults are somewhat higher than those previously found in Black subjects, suggesting that iron overload is more common in patients with amoebiasis than in the general population...
April 14, 1984: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
C K Hayden, M Toups, L E Swischuk, E G Amparo
We report the ultrasonographic features of hepatic amebiasis in six children. The spectrum of change ranges from a typical abscess to early "hepatitis." Ultrasonography is the primary imaging modality in patients suspected of having this disease and is excellent in localizing disease. This is important in terms of abscess drainage and in recognizing complications such as diaphragmatic perforation and empyema.
September 1984: Journal of the Canadian Association of Radiologists
J M Condat, J L Lecesne, R Ticolat, E Niamkey, J Soubeyrand, Y Merrien, G Charmot
The authors describe their experience of 16l patients (151 adults and 10 children) with hepatic amebiasis. Diagnosis and treatment were carried out at the Treichville Hospital University Center in Abidjan over a three-year period, from September 1976 to November 1979. Diagnosis was established without question in all cases. The indirect immunofluorescence reaction was particularly helpful. All patients were treated by metronidazole or it's derivatives. Semiology, course and therapy are described in detail. A comparison is made with cases published in the literature during the last 15 years...
March 11, 1982: La Semaine des Hôpitaux: Organe Fondé Par L'Association D'enseignement Médical des Hôpitaux de Paris
F García-Tamayo, L Ayala, J Kumate
No abstract text is available yet for this article.
July 1974: Boletín Médico del Hospital Infantil de México
J H Miller, B S Greenspan
The authors have encountered benign liver masses as frequently as malignant lesions in children with hepatomegaly. Lesions studied included abscesses, cavernous hemangioma/hemangioendothelioma, adenoma of glycogen storage disease, choledochal cysts, focal nodular hyperplasia, cystic hepatoblastoma, and hamartoma. An integrated imaging protocol involving ultrasound, computed tomography, and scintigraphy proved to be more helpful than any one modality in establishing the benign or malignant nature of a hepatic neoplasm and the type of tumor, which is of particular importance when surgical exploration and/or biopsy is contraindicated...
January 1985: Radiology
L Vachon, M J Diament, P Stanley
Ultrasound guided percutaneous drainage of seven hepatic abscesses in five pediatric patients was performed. Abscesses were pyogenic in four of the patients and amebic in one. All patients recovered completely without surgical intervention. Methodology necessary in the pediatric patient is stressed.
April 1986: Journal of Pediatric Surgery
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