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A case of multiple liver abscesses: clinical improvement after percutaneous aspiration

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dc.contributor.author Soentjens, P. en_US
dc.contributor.author Ostyn, B. en_US
dc.contributor.author Clerinx, J. en_US
dc.contributor.author Van Gompel, A. en_US
dc.contributor.author Colebunders, R. en_US
dc.date.accessioned 2007-12-06T14:39:08Z
dc.date.available 2007-12-06T14:39:08Z
dc.date.issued 2005 en_US
dc.identifier.issn 0001-5512 en_US
dc.identifier.other ITG-C2B en_US
dc.identifier.other ITG-C3A en_US
dc.identifier.other ITG-C4A en_US
dc.identifier.other ITG-CLA en_US
dc.identifier.other CLINIC en_US
dc.identifier.other U-HIVCLI en_US
dc.identifier.other U-TROPIC en_US
dc.identifier.other ABSTRACT en_US
dc.identifier.other FTA
dc.identifier.uri http://hdl.handle.net/10390/978
dc.description.abstract Amoebic liver abscesses are by far the most common extra-intestinal manifestation of invasive amoebiasis. The classical clinical picture consists of fever, right upper quadrant pain and hepatomegaly. Ultrasound and serology make an early diagnosis possible. Amoebic liver abscesses usually appear singly and are normally situated in the right lobe of the liver. This case report refers to a white Belgian woman, living in an endemic area for amoebiasis, presenting with 25 amoebic liver abscesses, who did not improve clinically despite appropriate anti-amoebic therapy, is described. Only percutaneous drainage of the larger abscesses led to clinical recovery. Amoebic abscess aspiration and evacuation under ultrasonographic guidance is of limited risk, but in experienced hands may enhance clinical recovery, particularly in patients with large abscesses not responding to conservative medical treatment. Aspiration of large abscesses (> 5 cm) is rarely necessary but should be considered if there is no clinical improvement after 3 days of nitroimidazole treatment with amoebicides. en_US
dc.language English en_US
dc.subject Imported diseases en_US
dc.subject Helminthic diseases en_US
dc.subject Amebiasis en_US
dc.subject Protozoal diseases en_US
dc.subject Liver abscess en_US
dc.subject Clinical diagnosis en_US
dc.subject Hepatomegaly en_US
dc.subject Ultrasonography en_US
dc.subject Serology en_US
dc.subject Clinical management en_US
dc.subject Drug therapy en_US
dc.subject Percutaneous aspiration en_US
dc.subject Case reports en_US
dc.subject Belgium en_US
dc.subject Europe, West en_US
dc.subject Congo-Kinshasa en_US
dc.subject Africa, Central en_US
dc.title A case of multiple liver abscesses: clinical improvement after percutaneous aspiration en_US
dc.type Article en_US
dc.citation.issue 1 en_US
dc.citation.jtitle Acta Clinica Belgica en_US
dc.citation.volume 60 en_US
dc.citation.pages 28-32 en_US
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/15981702
dc.citation.jabbreviation Acta Clin Belg en_US


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