Amoebic liver abscess history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
Specific areas of focus when obtaining a history from the patient include history of recent travel to or resident of [[endemic|endemic areas]], time of onset (duration of symptoms <14 days), history of [[dysentery]] within the previous few months, [[fever]] and [[abdominal pain]].<ref name="pmid14557296">{{cite journal| author=Tanyuksel M, Petri WA| title=Laboratory diagnosis of amebiasis. | journal=Clin Microbiol Rev | year= 2003 | volume= 16 | issue= 4 | pages= 713-29 | pmid=14557296 | doi= | pmc=207118 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14557296 }} </ref>Symptoms of amoebic liver abscess include | |||
==History== | ==History== | ||
Specific areas of focus when obtaining a history from the patient include history of:<ref name="pmid14557296">{{cite journal| author=Tanyuksel M, Petri WA| title=Laboratory diagnosis of amebiasis. | journal=Clin Microbiol Rev | year= 2003 | volume= 16 | issue= 4 | pages= 713-29 | pmid=14557296 | doi= | pmc=207118 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14557296 }} </ref> | Specific areas of focus when obtaining a history from the patient include history of:<ref name="pmid14557296">{{cite journal| author=Tanyuksel M, Petri WA| title=Laboratory diagnosis of amebiasis. | journal=Clin Microbiol Rev | year= 2003 | volume= 16 | issue= 4 | pages= 713-29 | pmid=14557296 | doi= | pmc=207118 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14557296 }} </ref> | ||
*History of recent travel to or resident of endemic areas | *History of recent travel to or resident of [[endemic|endemic areas]] | ||
*Time of onset (duration of symptoms <14 days) | *Time of onset (duration of symptoms <14 days) | ||
*History of dysentery within the previous few months | *History of [[dysentery]] within the previous few months | ||
*History of fever and abdominal pain | *History of [[fever]] and [[abdominal pain]] | ||
==Symptoms== | ==Symptoms== | ||
After exposure, 80% of infected patients develop symptoms with in few days to 4-5 weeks. Symptoms of amoebic liver abscess include:<ref name="pmid21731305">{{cite journal| author=Ximénez C, Morán P, Rojas L, Valadez A, Gómez A, Ramiro M et al.| title=Novelties on amoebiasis: a neglected tropical disease. | journal=J Glob Infect Dis | year= 2011 | volume= 3 | issue= 2 | pages= 166-74 | pmid=21731305 | doi=10.4103/0974-777X.81695 | pmc=3125031 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21731305 }} </ref><ref name="pmid19540361">{{cite journal| author=Ximénez C, Morán P, Rojas L, Valadez A, Gómez A| title=Reassessment of the epidemiology of amebiasis: state of the art. | journal=Infect Genet Evol | year= 2009 | volume= 9 | issue= 6 | pages= 1023-32 | pmid=19540361 | doi=10.1016/j.meegid.2009.06.008 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19540361 }} </ref><ref name="pmid18828976">{{cite journal| author=Pritt BS, Clark CG| title=Amebiasis. | journal=Mayo Clin Proc | year= 2008 | volume= 83 | issue= 10 | pages= 1154-9; quiz 1159-60 | pmid=18828976 | doi=10.4065/83.10.1154 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18828976 }} </ref><ref name="pmid18398490">{{cite journal| author=Ali IK, Solaymani-Mohammadi S, Akhter J, Roy S, Gorrini C, Calderaro A et al.| title=Tissue invasion by Entamoeba histolytica: evidence of genetic selection and/or DNA reorganization events in organ tropism. | journal=PLoS Negl Trop Dis | year= 2008 | volume= 2 | issue= 4 | pages= e219 | pmid=18398490 | doi=10.1371/journal.pntd.0000219 | pmc=2274956 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18398490 }} </ref><ref name="pmid20617021">{{cite journal| author=Ximénez C, Cerritos R, Rojas L, Dolabella S, Morán P, Shibayama M et al.| title=Human amebiasis: breaking the paradigm? | journal=Int J Environ Res Public Health | year= 2010 | volume= 7 | issue= 3 | pages= 1105-20 | pmid=20617021 | doi=10.3390/ijerph7031105 | pmc=2872301 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20617021 }} </ref> | After exposure, 80% of [[infected|infection]] patients develop symptoms with in few days to 4-5 weeks. Symptoms of [[amoebic liver abscess]] include:<ref name="pmid21731305">{{cite journal| author=Ximénez C, Morán P, Rojas L, Valadez A, Gómez A, Ramiro M et al.| title=Novelties on amoebiasis: a neglected tropical disease. | journal=J Glob Infect Dis | year= 2011 | volume= 3 | issue= 2 | pages= 166-74 | pmid=21731305 | doi=10.4103/0974-777X.81695 | pmc=3125031 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21731305 }} </ref><ref name="pmid19540361">{{cite journal| author=Ximénez C, Morán P, Rojas L, Valadez A, Gómez A| title=Reassessment of the epidemiology of amebiasis: state of the art. | journal=Infect Genet Evol | year= 2009 | volume= 9 | issue= 6 | pages= 1023-32 | pmid=19540361 | doi=10.1016/j.meegid.2009.06.008 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19540361 }} </ref><ref name="pmid18828976">{{cite journal| author=Pritt BS, Clark CG| title=Amebiasis. | journal=Mayo Clin Proc | year= 2008 | volume= 83 | issue= 10 | pages= 1154-9; quiz 1159-60 | pmid=18828976 | doi=10.4065/83.10.1154 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18828976 }} </ref><ref name="pmid18398490">{{cite journal| author=Ali IK, Solaymani-Mohammadi S, Akhter J, Roy S, Gorrini C, Calderaro A et al.| title=Tissue invasion by Entamoeba histolytica: evidence of genetic selection and/or DNA reorganization events in organ tropism. | journal=PLoS Negl Trop Dis | year= 2008 | volume= 2 | issue= 4 | pages= e219 | pmid=18398490 | doi=10.1371/journal.pntd.0000219 | pmc=2274956 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18398490 }} </ref><ref name="pmid20617021">{{cite journal| author=Ximénez C, Cerritos R, Rojas L, Dolabella S, Morán P, Shibayama M et al.| title=Human amebiasis: breaking the paradigm? | journal=Int J Environ Res Public Health | year= 2010 | volume= 7 | issue= 3 | pages= 1105-20 | pmid=20617021 | doi=10.3390/ijerph7031105 | pmc=2872301 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20617021 }} </ref> | ||
*Moderate to severe abdominal pain | *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 | :*Pain aggravates with [[cough|coughing]], deep breathing, walking and while resting on right side | ||
*Malaise (uneasiness, or ill feeling) | *[[Malaise]] (uneasiness, or ill feeling) | ||
*Loss of appetite | *Loss of [[appetite]] | ||
*Sweating | *Sweating | ||
*Weight loss | *Weight loss | ||
*Epigastric pain (Commonly seen in left lobe abscesses) | *[[Epigastric]] pain (Commonly seen in left lobe [[abscess|abscesses]]) | ||
*Fever (high fever with chills is suggestive of secondary bacterial infection) | *[[Fever]] (high fever with chills is suggestive of secondary bacterial infection) | ||
*Anorexia | *[[Anorexia]] | ||
*Pleuritic chest pain | *[[Pleuritic chest pain]] | ||
*Cough with or without expectoration and chest pain (may be due to abscess rupture into the pleural cavity) | *[[Cough]] with or without expectoration and chest pain (may be due to [[abscess]] rupture into the [[pleural cavity]]) | ||
:*Cough with odorless brown sputum indicates hepatopulmonary 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> | :*[[Cough]] with odorless brown sputum indicates hepatopulmonary [[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]]) | ||
*Abdominal distension (due to ascites) | *Abdominal distension (due to [[ascites]]) | ||
*Nausea and vomiting | *[[Nausea]] and [[vomiting]] | ||
*Diarrhea | *[[Diarrhea]] | ||
*Constipation | *[[Constipation]] | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 19:26, 14 February 2017
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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
Specific areas of focus when obtaining a history from the patient include 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, fever and abdominal pain.[1]Symptoms of amoebic liver abscess include
History
Specific areas of focus when obtaining a history from the patient include history of:[1]
- 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 infection patients develop symptoms with in few days to 4-5 weeks. Symptoms of amoebic liver abscess include:[2][3][4][5][6]
- 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)
- 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
- ↑ 1.0 1.1 Tanyuksel M, Petri WA (2003). "Laboratory diagnosis of amebiasis". Clin Microbiol Rev. 16 (4): 713–29. PMC 207118. PMID 14557296.
- ↑ 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.