Amebic liver abscess in children: the role of diagnostic imaging

Merten, David F.; Kirks, Donald R.

doi:10.2214/ajr.143.6.1325

Cited by 19 publications

(9 citation statements)

References 5 publications

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“…4,10,13,21,[25][26][27][28] Subphrenic collections may also be apparent. 25 Abdominal radiography may demonstrate an abdominal mass or suggest hepatomegaly, and if the abscess contains gas, focal lucency may be projected over the liver (►Fig. 2).…”

Section: Imaging Plain Filmmentioning

confidence: 99%

Liver Abscess in Children

Milford

Gaxa

et al. 2017

J Pediatr Infect Dis

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Liver abscess is a global disease, although it occurs more commonly in areas with poor socioeconomic circumstances. The majority of liver abscesses are pyogenic in nature, but amebiasis is a common cause in areas where the parasite is endemic and sanitation is underdeveloped. This article reviews pyogenic and amebic liver abscesses with special focus on the role of imaging in both diagnosis and management. The epidemiology, pathology, and clinical presentation are also discussed.

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Section: Imaging Plain Filmmentioning

confidence: 99%

Liver Abscess in Children

Milford

Gaxa

et al. 2017

J Pediatr Infect Dis

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“…Reports from western countries indicate a resurgence of amebic liver abscess associated with overcrowding, immigration, and reduced living standards [2]. It also contributes to public health problems in industrialized countries [3]. ALA develops in approximately 3% to 10% of patients who develop amebic infestation of the gastrointestinal tract (GIT).…”

Section: Discussionmentioning

confidence: 99%

“…It is more common in adults and is associated with more severe morbidity and mortality. Reports of ALA in children are sporadic [3-8]. …”

Section: Discussionmentioning

confidence: 99%

Amoebic liver abscess – a cause of acute respiratory distress in an infant: a case report

Saleem

2009

J Med Case Reports

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IntroductionThe usual presentation of amebic liver abscess in children is extremely variable and unpredictable. It presents with a picture of common pediatric illness that is fever, lethargy, and abdominal pain, and can go on to develop into a rare complication of rupture into the pleura to cause acute respiratory distress, which is another common pediatric illness. In our patient, diagnosis was not made or suspected in these two stages.Case presentationThis is the report of a 2-year-old male infant who presented with a 2-week history of anorexia, fever, and abdominal pain. A few hours after admission, he suddenly developed acute respiratory distress; chest X-ray demonstrated massive right pleural effusion that failed to response to tube thoracostomy. Limited thoracotomy revealed a ruptured amebic liver abscess through the right cupola of the diaphragm. The content of the abscess was evacuated from the pleural cavity, which was drained with two large chest tubes. Serological examination confirmed the diagnosis of ruptured amebic liver abscess. Postoperative treatment with antibiotics including metronidazole continued until full recovery.ConclusionDiagnosis of such a rare disease requires a high degree of suspicion. In this patient, the diagnosis was only made postoperatively. The delay in presentation and the sudden onset of respiratory distress must be emphasized for all those physicians who care for children.

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“…Infection with the protozoan Entamoeba histolytica occurs worldwide. 10% of the world's population is said to be infected with this organism ( Merten & Kirks 1984). Liver abscess is the most common extraintestinal manifestation of amoebiasis and occurs in 3% to 9% of patients with amoebic infection ( Debakey & Ochsner 1959; Landay et al .…”

Section: Discussionmentioning

confidence: 99%

“…However, resistance to drug therapy occurs in some patients ( Singh & Kashyap 1989), who may consequently need alternative or additional methods of treatment. Although needle aspiration has been used as an adjunct, percutaneous catheter drainage (PCD) has been found to be the most effective form of drainage in such circumstances ( Merten & Kirks 1984; Singh & Kashyap 1989; Moazam & Nasir 1998; Rajak et al . 1998 ).…”

Section: Introductionmentioning

confidence: 99%

Percutaneous catheter drainage in drug‐resistant amoebic liver abscess

Hanna

Dahniya

Badr

et al. 2000

Tropical Med Int Health

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SummaryThis communication records our experience with the percutaneous catheter drainage (PCD) of 22 amoebic liver abscesses in 19 patients who had failed to respond to amoebicidal therapy. In one patient with a left lobe abscess, imminent rupture was an additional indication for drainage. PCD combined with amoebicidal therapy not only expedited recovery, but was curative in all 19 patients. There were no complications. We conclude that PCD is a most useful adjunct to drug therapy and recommend its routine use in the management of drug-resistant amoebic liver abscesses.keywords amoebic liver abscess, drug resistance, catheter drainage, Kuwait correspondence R. M. Hanna,

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Amebic liver abscess in children: the role of diagnostic imaging

Cited by 19 publications

References 5 publications

Liver Abscess in Children

Liver Abscess in Children

Amoebic liver abscess – a cause of acute respiratory distress in an infant: a case report

Percutaneous catheter drainage in drug‐resistant amoebic liver abscess

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