Amebic liver abscess in children

Haffar, Anan A. M.; Boland, F J; Edwards, Morven S.

doi:10.1097/00006454-198209000-00008

Cited by 18 publications

(4 citation statements)

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“…Our patient had fever and epigastric tenderness, but no hepatomegaly or liver tenderness. Table 1 compares clinical presentation of our patient with previous similar publications [6][7][8][9].…”

Section: Discussionmentioning

confidence: 83%

Multiple liver abscesses in a child

Shah¹,

Sethi²,

Bridges³

et al. 2012

OJPed

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Entameba histolytica is a protozoan that usually causes procto-colitis. E. histolytica amebiasis is endemic in tropical countries but exceedingly rare in the US Amebic liver abscess commonly presents with fever, abdominal distension, right upper quadrant pain/tenderness, hepatomegaly, and tachycardia. We discuss the presentation/diagnosis of amebiasis in a child who had visited Mexico and the difficulty of early diagnosis when there is no evidence of intestinal infection. Ultrasonography and/or CT were essential diagnostic tools and an IgG antibody study confirmed the diagnosis. Management included oral metronida-zole and abscess drainage

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Section: Discussionmentioning

confidence: 83%

Multiple liver abscesses in a child

Shah¹,

Sethi²,

Bridges³

et al. 2012

OJPed

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“…Hence, in a recent review of amebic liver abscesses, most of the children were under 3 years of age. 151 Remarkably, two-thirds of these presented with cough or breathing difficulty.…”

Section: Extragastrointestinal Amebiasismentioning

confidence: 99%

Gastrointestinal Infections

Marks

1985

Pediatric Infectious Diseases for the Practitioner

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Gastrointestinal infections are second only to respiratory infectious diseases in frequency and morbidity. A conservative estimate places the annual worldwide mortality from gastroenteritis-related infections at six million children. Although stomatitis and esophagitis are occasionally seen as distinct entities, the vast majority of gastrointestinal infections manifest as vomiting and/or diarrhea syndromes, commonly referred to as gastroenteritis. In many cases the term "enterocolitis" describes the pathologic and clinical features more accurately. EpidemiologyDiarrhea is most pronounced in communities where undernutrition, poor hygiene, and poorly developed community facilities for sewage and drinking water exist. In such communities, as recently described for Bangladesh, the peak incidence of diarrhea syndromes occurs between 2 and 11 months of age, and most infants in their first year of life can be expected to have seven episodes of gastroenteritis. 38 Expression and frequency of infection are related to decreased host resistance secondary to nutritional deficiencies, and increased spread referable to crowded living quarters, contaminated water and food, inadequate washing and toilet facilities, abundant flies, and inadequate refrigeration and cooking technology.Young infants are most prone to the dehydrating and debilitating effects of acute gastroenteritis and have the highest attack rates. Some organisms, such as Shigella, predominate in the summer and fall months, whereas others, such as rotavirus, are frequent in the winter months in temperate climates 53 and year-round in the tropics. 38 Campylobacter and enterotoxigenic E. coli are also very prevalent in such areas. 94 M. I. Marks, Pediatric Infectious Diseases

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“…Although the incidence of amebiasis in the United States is only 5% [2], the disease may be endemic, with scattered foci of infection occurring in family or community clusters most often in the southern or southwestern states [3,4]. While poor sanitary conditions and overcrowding predispose to transmission of amebiasis, no individual or socioeconomic group is spared the risk of infection [1,[5][6][7].…”

mentioning

confidence: 99%

“…Amebic liver abscess (ALA) is the most common extraintestinal form of invasive amebiasis [9] and is a serious life-threatening disease in children [3,6]. …”

mentioning

confidence: 99%