| Some unusual presentations of hepatic amoebiasis in Enugu, Nigeria. | |
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MedLine Citation:
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PMID: 1871879 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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A E Ihekwaba; S O Ukabam |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Tropical doctor Volume: 21 ISSN: 0049-4755 ISO Abbreviation: Trop Doct Publication Date: 1991 Apr |
Date Detail:
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Created Date: 1991-09-19 Completed Date: 1991-09-19 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 1301706 Medline TA: Trop Doct Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 60-2 Citation Subset: IM |
Affiliation:
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Department of Medicine, University of Nigeria Teaching Hospital, Enugu. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Cholestasis / etiology Coma / etiology Female Fever of Unknown Origin / etiology Humans Liver Abscess, Amebic / complications* Male Middle Aged Nigeria |
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