Amoebic liver abscess history and symptoms: Difference between revisions
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*Anorexia | *Anorexia | ||
*Pleuritic chest pain | *Pleuritic chest pain | ||
*Cough with or without expectoration | *Cough with or without expectoration and chest pain (may be due to abscess rupture into the pleural cavity) | ||
:*Cough with odorless brown sputum indicates bronchopleural fistula<ref name="pmid2219891">{{cite journal| author=Lyche KD, Jensen WA, Kirsch CM, Yenokida GG, Maltz GS, Knauer CM| title=Pleuropulmonary manifestations of hepatic amebiasis. | journal=West J Med | year= 1990 | volume= 153 | issue= 3 | pages= 275-8 | pmid=2219891 | doi= | pmc=1002529 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2219891 }} </ref> | |||
*Yellow discoloration of skin (Jaundice is seen in 1/3 of patients) | *Yellow discoloration of skin (Jaundice is seen in 1/3 of patients) | ||
*Confusion (due to encephalopathy) | *Confusion (due to encephalopathy) | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]
Overview
History
- History of recent travel to or resident of endemic areas.
- Time of onset (duration of symptoms <14 days)
- History of dysentery within the previous few months
- History of fever and abdominal pain
Symptoms
After exposure, 80% of infected patients develop symptoms with in few days to 4-5 weeks. Symptoms of amoebic liver abscess include:[1][2][3][4][5]
- Moderate to severe abdominal pain
- localized to right upper quadrant radiated to right shoulder or diffuse
- pain is intense, continuous or stabbing
- Pain aggravates with coughing, deep breathing, walking and while resting on right side
- Malaise (uneasiness, or ill feeling)
- Loss of appetite
- Sweating
- Weight loss
- Epigastric pain (Commonly seen in left lobe abscesses)
- Fever (high fever with chills is suggestive of secondary bacterial infection)
- Anorexia
- Pleuritic chest pain
- Cough with or without expectoration and chest pain (may be due to abscess rupture into the pleural cavity)
- Cough with odorless brown sputum indicates bronchopleural fistula[6]
- Yellow discoloration of skin (Jaundice is seen in 1/3 of patients)
- Confusion (due to encephalopathy)
- Abdominal distension (due to ascites)
- Nausea and vomiting
- Diarrhea
- Constipation
References
- ↑ Ximénez C, Morán P, Rojas L, Valadez A, Gómez A, Ramiro M; et al. (2011). "Novelties on amoebiasis: a neglected tropical disease". J Glob Infect Dis. 3 (2): 166–74. doi:10.4103/0974-777X.81695. PMC 3125031. PMID 21731305.
- ↑ Ximénez C, Morán P, Rojas L, Valadez A, Gómez A (2009). "Reassessment of the epidemiology of amebiasis: state of the art". Infect Genet Evol. 9 (6): 1023–32. doi:10.1016/j.meegid.2009.06.008. PMID 19540361.
- ↑ Pritt BS, Clark CG (2008). "Amebiasis". Mayo Clin Proc. 83 (10): 1154–9, quiz 1159-60. doi:10.4065/83.10.1154. PMID 18828976.
- ↑ Ali IK, Solaymani-Mohammadi S, Akhter J, Roy S, Gorrini C, Calderaro A; et al. (2008). "Tissue invasion by Entamoeba histolytica: evidence of genetic selection and/or DNA reorganization events in organ tropism". PLoS Negl Trop Dis. 2 (4): e219. doi:10.1371/journal.pntd.0000219. PMC 2274956. PMID 18398490.
- ↑ Ximénez C, Cerritos R, Rojas L, Dolabella S, Morán P, Shibayama M; et al. (2010). "Human amebiasis: breaking the paradigm?". Int J Environ Res Public Health. 7 (3): 1105–20. doi:10.3390/ijerph7031105. PMC 2872301. PMID 20617021.
- ↑ Lyche KD, Jensen WA, Kirsch CM, Yenokida GG, Maltz GS, Knauer CM (1990). "Pleuropulmonary manifestations of hepatic amebiasis". West J Med. 153 (3): 275–8. PMC 1002529. PMID 2219891.