Fatal case of amoebic liver abscess in a child

Author: Khuen Foong NG ¹ ; Kah Kee TAN ¹ ; Romano NGUI ² ; Yvonne A.L. LIM ² ; Amirah AMIR ² ; Yamuna RAJOO ² ; Rohela MAHMUD ² ; Hamimah HASSAN ³
Author Information

1. Department of Pediatric, Tuanku Jaafar Hospital
2. Department of Parasitology, Faculty of Medicine, University of Malaya
3. Department of Medical Microbiology, Faculty of Medicine, University of Malaya
Publication Type:Journal Article
Keywords: Amoebic liver abscess; Children; Entamoeba histolytica
From: Asian Pacific Journal of Tropical Medicine 2015;8(10):878-880
CountryChina
Language:Chinese
Abstract: We reported a case of amoebic liver abscess (ALA) in a 6-year-old Malaysian boy who presented with fever, lethargy, diarrhoea and right hypochondriac pain. On admission he was diagnosed with perforated acute appendicitis and a laparotomy was done. After surgery he developed acute respiratory distress. Ultrasonography, chest X-Ray and CT scan revealed two ALAs in the posterior segment of right lobe of liver, pleural effusion and collapsed consolidation of lungs bilaterally. Percutaneous liver abscesses drainage was done and intravenous Metronidazole was started. PCR carried out on the pus from the abscess was positive for Entamoeba histolytica. Patient however succumbed to the infection one week after admission.