No abstract available.
Amebiasis* ; Skin*

No abstract available.
Amebiasis* ; Diabetes Mellitus* ; Humans ; Kidney* ; Liver*

Metronidazole is a popular selected drug in treatment for amebic hepatic abscess. 30 patients with amebic hepatic abscess received intravenous infusion metronidazole at Bach Mai Hospital. The authors followed disease's process, assess abscess's condition by ultrasound, manifestation of side effects, efficacy of treatment, clinical process,... The results showed that intravenous infusion metronidazole 1,000mg once daily achieved good effects. Clinical and sub-clinical symptoms improved significantly. Results of treatment are excellent and good (66.7% and 33.3%, respectively). There are four side effects including fatigue, metallic taste in the mouth, dizziness. No patient must discontinue or alter therapy
Metronidazole ; Amebiasis ; Therapeutics ; Liver Abscess, Amebic ; hospitals

To differentiate amebic and pyogenic liver abscesses, sonography(US) and CT findings of 21 amebic and 22 pyogenic liver abscesses were reviewed retrospectively. US was performed in all cases and CT in 15 cases of each group. Eleven cases of amebic abscesses had well defined margin which was observed in 10 cases of pyogenic abscessed. Amebic abscesses showed hyperechoic wall in 7 cases and calcification in 4 cases. Ten cases of pyogenic abscesses had mearby intrahepatic duct dilatation which was observed in 2 cases of amebic abscesses. Pneumobilia was seen in 6 cases of pyogenic abscesses. US findings of clear margin and hyperechoic wall, and CT findings of intrahepatic duct dilatation, pneumobilia, and calcification were helpful in differentation of amebic pyogenic liver abscesses.
Abscess ; Amebiasis ; Dilatation ; Liver Abscess, Pyogenic* ; Retrospective Studies

Metronidazole is an antimicrobial agent widely used for the treatment of trichomoniasis, giardiasis, amebiasis, and anaerobic bacterial infections. It has been reported that metronidazole-induced neurotoxicity is associated with responsible lesions on brain MRI. We report 2 patients with metronidazole-induced neurotoxicity, who had no responsible lesions on brain MRI for their neurological deficits. The pathogenic mechanisms are discussed.
Amebiasis ; Bacterial Infections ; Brain ; Giardiasis ; Humans ; Magnetic Resonance Imaging ; Metronidazole

Although many papers concerning the ultrasonographic findings of liver abscess have been appeared, there is afew literatures for the analysis of its echognic patterns. Twenty-nine cases of surgically proven liver abscesswere studied by ultrasonography in our hospital during recent 3 years. The results were as follows: 1.Ultrasonography permitted correct diagnosis in 26 of 29 patients with sensitivity 90%. 2. All the 7 cases ofamebic abscess were single lesions and 6 cases of them were distributed in the right lobe of liver, while pyogenicabscesses showed single or multiple lesions. It was very difficult to distinguish pyogenic abscess from amebicabscess in cases of single lesion. 3. It was impossible to differentiate pyogenic abscess from amebic abscess bythe echopattern of abscess wall and internal echogenicity. 4. The wall of obscess was ill-defined in the majority,and internal echogenecity of abscess was variable although weak internal echogenecity was more comon. 5. Theechopattern of abscess was gradually converted to echolucent or hypoechoic area with weak internal echoes infollowing up study. 6. Clinical findings and ultrasonic findings should be carefully analysed to secure correctdiagnosis of there is any possibility of co-existing necrotizing metastatic lesion.
Abscess ; Amebiasis ; Diagnosis ; Humans ; Liver Abscess ; Liver ; Ultrasonics ; Ultrasonography

An acute fulminant amoebic colits rarely develops as a complication of amoebiasis, and is difficult to diagnose and treat when it occurs. It is a life-threatening disease, and associated with a very high mortality rate. Herein, a case 42-old-year man, who had a generalized peritonitis caused by an acute fulminant amoebic colitis, is reported, with a review of the literature. He died of multiple organ failure, following sepsis and disseminated intravascular coagulation, on the 19th day after his operation, despite treatment with aggressive surgery and anti-amoebic agents. An emergency laparotomy should be considered when an acute fulminant amoebic colitis deteriorates despite the use of intensive anti-amoebic therapy, especially when there is an acute episode suggestive of perforation. A primary total resection of the diseased colon is one of the treatments of choice.
Amebiasis ; Colon ; Disseminated Intravascular Coagulation ; Dysentery, Amebic* ; Emergencies ; Laparotomy ; Mortality ; Multiple Organ Failure ; Peritonitis* ; Sepsis

A patient with amebic colitis in which the rare complication of ameboma developed accompanying liver abscess is presented. The diagnosis was made by colonic mucosal biopsy and microscopic stool examination which revealed hematophagous trophzoites of Entamoeba histolytica. All rnanifestations of this patient's illness, including liver abscess, completley reverted to normal after appropriate therapy.
Amebiasis* ; Biopsy ; Colon ; Diagnosis ; Dysentery, Amebic* ; Entamoeba histolytica ; Humans ; Liver Abscess* ; Liver*

Indirtct fluorescent antibody and immobilization tests on Eatamoeba histolytica have been carried out using the sera of 84 Cheju-islanders, a highly endemic area of amebiasis in Korea. The sera were divided into seven groups; 1) liver abscess (E. histolytica in liver), 2) liver abscess (E. histolytica in stool), 3) liver abscess (E. histolytica not demonstrated by examinations of abscess and stool), 4) hepatomegaly (E. histolytica in stool), 5)hepatomegaly (E. histolytica not found in stool), 6) cyst carrier, symptomless healthy individuals and 7) control group. 1. The indirect fluorescent antibody test, 100 per cent of cases with group 1 and group 2, 40 per cent with group 3 and group 4, 33.3 per cent with group 5, 50 per cent with group 6 and 5.9 per cent with control group were found positive at 1:16 or higher. Higher titers were manifested in proved liver abscess, but lower titres were in cyst carrier and control group. 2. The immobilization test, 100 per cent of sera in group 1, 2 and 3, 8O per cent in group 4, 90.5 per cent in group 5, 40 per cent in cyst carrier and 23.5per cent in control group showed positive. 3. Both tests were positive in all sera of group 1 and 2, six sera out of 15 in group 3, four out of 10 in group 4, seven out of 21 in group 5, two out of 10 in cyst carriers and one out of 17 in controls. 4. Indirect F-A titers were not correlated with the rate of immobilization. Therefors it is suggestive that the two methods will be preferable for the diagnosis of suspicious cases of amoebiasis.
Amebiasis/*diagnosis ; Entamoeba histolytica/*immunology ; Female ; Fluorescent Antibody Technique ; Human ; Korea ; Male ; Serologic Tests

Amebic liver abscess (ALA) is the most common extraintestinal manifestation of amebiasis. Amebiasis, a parasitic infection caused by Entamoeba histolytica, used to be a prevalent protozoan disease in Korea, however, with an improving sanitary system, it has been among very uncommon etiology of liver abscess. A recent report suggested that ALA is an emerging parasitic infection in human immunodeficiency virus (HIV)-infected patients even in areas where the disease is not endemic and recommended HIV screening in patients in areas where ALA is not endemic, particularly those without history of travel to a disease-endemic area. We report on two patients who were admitted for treatment of ALA and then diagnosed as HIV infection. We also reviewed the etiology and characteristics of ALA in our hospital during the last 5 years.
Amebiasis ; Diagnosis* ; Entamoeba histolytica ; HIV Infections ; HIV* ; Humans* ; Korea ; Liver Abscess ; Liver Abscess, Amebic* ; Mass Screening