Document Detail


Amoebic liver abscess. Review of 220 cases.
MedLine Citation:
PMID:  1869393     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Two hundred and twenty cases of amoebic liver abscess were seen between 1981-1986. The majority were young or middle aged males belonging to the lower socio-economic group and 85% gave a history of drinking toddy (fermented palm juice). The highest incidence of the disease occurred during the peak toddy season (April to July). Toddy drinkers become susceptible perhaps because of the large dose of Entamoeba histolytica and bacteria ingested with the drink, associated malnutrition, poor hygiene, hepatic dysfunction and possible suppression of amoebistatic substance. Useful investigations consisted of skiagram and ultrasonography, the later being sometimes used to guide the aspiration needle to abscesses situated at unconventional sites. Over 88 per cent responded well to conservative treatment with aspiration(s). Laparotomy was required in slightly over 10% of cases and in these the mortality was 12% as compared to 2% with conservative treatment. Although a large amount of liver tissue appears to be destroyed, the residual liver damage is clinically, biochemically, macroscopically and microscopically minimal.
Authors:
A A Hai; A Singh; V K Mittal; G C Karan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International surgery     Volume:  76     ISSN:  0020-8868     ISO Abbreviation:  Int Surg     Publication Date:    1991 Apr-Jun
Date Detail:
Created Date:  1991-09-18     Completed Date:  1991-09-18     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0043524     Medline TA:  Int Surg     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  81-3     Citation Subset:  IM    
Affiliation:
Department of Surgery, Patna Medical College Hospital, India.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Alcohol Drinking / adverse effects
Female
Humans
Laparotomy
Liver Abscess, Amebic / diagnosis,  etiology,  mortality,  therapy*
Male
Metronidazole / therapeutic use
Middle Aged
Rupture, Spontaneous
Seasons
Suction
Survival Rate
Chemical
Reg. No./Substance:
443-48-1/Metronidazole

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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