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Nari, R. Ceballos Espinosa 1 , S. Cruz Valenciano, J. Briones Rivas, F. Drenaje precoz. Background: amebic liver abscess is frequently seen in endemic regions, and has a poor prognosis when diagnosis and treatment are inappropriate. Aim: to evaluate and compare our own results; to propose a new classification and therapeutic algorithm.
Design: an observational and retrospective study. Method: medical records were reviewed for sex, age, signs and symptoms, images, laboratory tests, size, location, treatment, hospital stay, and morbidity-mortality. Results: sixteen patients with amebic liver abscess had been treated -9 were males, mean age was Seven patients had a good response to medical treatment, 6 needed percutaneous drainage, and 3 required surgery.
Morbidity was Average hospital stay was 7. Conclusion : our results are similar to those in other published series. We believe that early percutaneous drainage for collected abscesses bigger than 5 cm may improve symptoms and shorten hospital stay. El tratamiento efectuado se muestra en la tabla III. En esto, nuestra serie coincide con lo publicado por diferentes autores 1,2. De todas maneras, el tratamiento con metronidazol se debe emplear en todos los pacientes, tal como lo efectuamos en nuestros casos, independientemente de si se asocie o no un procedimiento invasivo.
De acuerdo a lo expresado anteriormente y a manera de propuesta Fig. Hepatic amebiasis. Braz J Infect Dis ; 7: Seeto R, Rockey D. Amebic liver abscess: Epidemiology, clinical features and outcome.
West J Med ; Amebic liver abscess: Changing trends over 20 years. World J Surg ; Amebic liver abscess: Presentation of 4 cases. Rev Esp Enferm Dig ; Amebic liver abscess: Medical treatment or percutaneous aspiration? Gastroenterol Hepatol ; Endoscopic biliary drainage in patients with amebic liver abscess and biliary communication. Indian J Gastroenterol ; Amebiasis in the epidemiologic transition in Mexico: Its morbidity and mortality trends in the Mexican Institute of Social Security.
Arch Med Res ; Echographie des abces amibiens du foie. J Radiol ; Treatment of amoebic liver abscess with metronidazole alone or in combination with ultrasound-guided needle aspiration: A comparative, prospective and randomized study. Trop Med Int Health ; 8: Amebic liver abscess -rare need for percutaneous treatment modalities. Eur J Med Res ; Servicios Personalizados Revista. ABSTRACT Background: amebic liver abscess is frequently seen in endemic regions, and has a poor prognosis when diagnosis and treatment are inappropriate.
Key words: Amoebic liver abscess. Early drainage. Aceptado:
Nari, R. Ceballos Espinosa 1 , S. Cruz Valenciano, J. Briones Rivas, F. Drenaje precoz.