Document Detail


Some unusual presentations of hepatic amoebiasis in Enugu, Nigeria.
MedLine Citation:
PMID:  1871879     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Eighty-two cases of hepatic amoebiasis were diagnosed and treated at the University of Nigeria Teaching Hospital during a 4-year period. Typical or classical features were observed in 75 (91.4%) of the cases while the remaining seven presented atypically or unusually. These were obstructive jaundice (three cases), coma (two cases) and pyrexia of unknown origin (two cases). All the cases had positive gel diffusion precipitation test for amoebic antibodies, and in all but one there was demonstration of an abscess cavity. In the three cases of obstructive jaundice, the abscess cavities were located close to the hilum and compressed the main bile duct. There was no mortality recorded especially in the jaundiced cases despite the grave prognosis associated with jaundice in hepatic amoebiasis. This study demonstrates the need to consider hepatic amoebiasis in an area when patients present with either obstructive jaundice, coma or pyrexia of unknown origin and to do ultrasonography as an initial investigation in such patients.
Authors:
A E Ihekwaba; S O Ukabam
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Tropical doctor     Volume:  21     ISSN:  0049-4755     ISO Abbreviation:  Trop Doct     Publication Date:  1991 Apr 
Date Detail:
Created Date:  1991-09-19     Completed Date:  1991-09-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1301706     Medline TA:  Trop Doct     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  60-2     Citation Subset:  IM    
Affiliation:
Department of Medicine, University of Nigeria Teaching Hospital, Enugu.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Cholestasis / etiology
Coma / etiology
Female
Fever of Unknown Origin / etiology
Humans
Liver Abscess, Amebic / complications*
Male
Middle Aged
Nigeria

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


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