Amoebic liver abscess laboratory findings: Difference between revisions
Jump to navigation
Jump to search
Line 7: | Line 7: | ||
==Laboratory Findings== | ==Laboratory Findings== | ||
Laboratory tests consistent with diagnosis of Amoebic liver abscess include: | |||
'''Complete blood picture''' | '''Complete blood picture''' | ||
Line 25: | Line 27: | ||
:*Elevated aspartate aminotransferase | :*Elevated aspartate aminotransferase | ||
:*Elevated alkaline phosphatase | :*Elevated alkaline phosphatase | ||
'''Stool Examination''' | |||
*Microscopic stool examination for cysts | |||
:*Microscopic stool examination for cysts is of little value due to infection with nonpathogenic strain of ''[[Entamoeba|E dispar]]'' | |||
:*If positive it suggests the diagnosis of amoebiasis. | |||
*Examination for trophozoites | |||
:*As the trophozoites are very sensitive and may be excreted intermittently, at least three fresh specimens are taken. | |||
:*A combination of iodine-stained concentrates, trichome-stained preparations, and wet mount are used. | |||
*Findings suggestive of amoebic colitis include: | |||
:*Charcot-leyden crystal protein | |||
:*Positive test for heme | |||
:*A paucity of neutrophils | |||
Blood test for amoebiasis and stool testing for amoebiasis | Blood test for amoebiasis and stool testing for amoebiasis |
Revision as of 16:07, 8 February 2017
Amoebic liver abscess Microchapters |
Diagnosis |
Treatment |
Case Studies |
Amoebic liver abscess laboratory findings On the Web |
American Roentgen Ray Society Images of Amoebic liver abscess laboratory findings |
Risk calculators and risk factors for Amoebic liver abscess laboratory findings |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]
Overview
Laboratory Findings
Laboratory tests consistent with diagnosis of Amoebic liver abscess include:
Complete blood picture
- Heamoglobin <10g/dl
- Leukocytosis
- Neutrophilia
ESR and CRP
Elevated ESR and C-reactive protein[1]
Liver function tests
- Acte infection
- Elevated aspartate aminotransferase
- Normal alkaline phosphatase
- Chronic infection
- Elevated aspartate aminotransferase
- Elevated alkaline phosphatase
Stool Examination
- Microscopic stool examination for cysts
- Microscopic stool examination for cysts is of little value due to infection with nonpathogenic strain of E dispar
- If positive it suggests the diagnosis of amoebiasis.
- Examination for trophozoites
- As the trophozoites are very sensitive and may be excreted intermittently, at least three fresh specimens are taken.
- A combination of iodine-stained concentrates, trichome-stained preparations, and wet mount are used.
- Findings suggestive of amoebic colitis include:
- Charcot-leyden crystal protein
- Positive test for heme
- A paucity of neutrophils
Blood test for amoebiasis and stool testing for amoebiasis
References
- ↑ Blessmann J, Binh HD, Hung DM, Tannich E, Burchard G (2003). "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 (11): 1030–4. PMID 14629771.