1887

Abstract

Introduction:

Amoebiasis is the third most frequent cause of mortality after malaria and schistosomiasis. In developed countries, amebiasis is also seen in migrants who have travelled to endemic areas. The factors responsible for its progression from intestinal amebiasis to an amebic liver abscess are not fully understood.

Case presentation:

A 54-year-old man presented with abdominal pain, fever and diarrhoea. Laparotomy confirmed an inflammatory mass involving the right colon, and he underwent a right hemicolectomy. He later developed abdominal distenstion due to an amoebic liver abscess and died from secondary nosocomial bacterial infection and surgical complications.

Conclusion:

Amoeboma is an uncommon manifestation of amoebiasis, and can mimic both carcinoma and inflammatory bowel disease; so, distinguishing between these two conditions is the key to providing appropriate therapy. Hepatic amoebiasis is the most common extraintestinal disease of invasive amoebiasis. This clinical report presents a case of an uncommon parasitic disease in Saudi Arabia and discusses the difficulties encountered while attempting to establish the correct diagnosis. Hence, a high index of suspicion is crucial for diagnosing to avoid unnecessary surgery and further complications.

Loading

Article metrics loading...

/content/journal/jmmcr/10.1099/jmmcr.0.005032
2016-06-28
2020-04-06
Loading full text...

Full text loading...

/deliver/fulltext/jmmcr/3/3/jmmcr005032.html?itemId=/content/journal/jmmcr/10.1099/jmmcr.0.005032&mimeType=html&fmt=ahah

References

  1. Abd Alla M. D., White G. L., Rogers T. B., Cary M. E., Carey D. W., Ravdin J. I.. 2007; Adherence-inhibitory intestinal immunoglobulin A antibody response in baboons elicited by use of a synthetic intranasal lectin-based amebiasis subunit vaccine. Infect Immun75:3812–3822 [CrossRef][PubMed]
    [Google Scholar]
  2. Acuna-Soto R., Maguire J. H., Wirth D. F.. 2000; Gender distribution in asymptomatic and invasive amebiasis. Am J Gastroenterol95:1277–1283 [CrossRef][PubMed]
    [Google Scholar]
  3. Adams E. B., MacLeod I. N.. 1977; Invasive amebiasis. II. Amebic liver abscess and its complications. Medicine56:325–334[PubMed][CrossRef]
    [Google Scholar]
  4. del Carmen Sánchez-Guillén M., Velázquez-Rojas M., Salgado-Rosas H., Torres-Rasgado E., Pérez-Fuentes R., Martínez-Munguía J., Talamás-Rohana P.. 2000; Seroprevalence of anti-Entamoeba histolytica antibodies by IHA and ELISA assays in blood donors from Puebla, Mexico. Arch Med Res31:S53–S54[PubMed][CrossRef]
    [Google Scholar]
  5. Flores M. S., Carrillo P., Tamez E., Rangel R., Rodríguez E. G., Maldonado M. G., Isibasi A., Galán L.. 2016; Diagnostic parameters of serological ELISA for invasive amoebiasis, using antigens preserved without enzymatic inhibitors. Exp Parasitol161:48–53 [CrossRef][PubMed]
    [Google Scholar]
  6. Fotedar R., Stark D., Beebe N., Marriott D., Ellis J., Harkness J.. 2007; Laboratory diagnostic techniques for entamoeba species. Clin Microbiol Rev20:511–532 [CrossRef][PubMed]
    [Google Scholar]
  7. Freedman D. O., Weld L. H., Kozarsky P. E., Fisk T., Robins R., von Sonnenburg F., Keystone J. S., Pandey P., Cetron M. S.. GeoSentinel Surveillance Network 2006; Spectrum of disease and relation to place of exposure among ill returned travelers. N Engl J Med354:119–130 [CrossRef][PubMed]
    [Google Scholar]
  8. Haque R., Huston C. D., Hughes M., Houpt E., Petri W. A.. 2003; Amebiasis. N Engl J Med348:1565–1573 [CrossRef][PubMed]
    [Google Scholar]
  9. Hoffner R. J., Kilaghbian T., Esekogwu V. I., Henderson S. O.. 1999; Common presentations of amebic liver abscess. Ann Emerg Med34:351–355[PubMed][CrossRef]
    [Google Scholar]
  10. Hoque M. I., Uddin M. S., Sarker A. R., Uddin M. K.. 2014; Common presentation of amebic liver abscess a study in a tertiary care hospital in Bangladesh. Mymensingh Med J23:724–729[PubMed]
    [Google Scholar]
  11. Katzenstein D., Rickerson V., Braude A.. 1982; New concepts of amebic liver abscess derived from hepatic imaging, serodiagnosis, and hepatic enzymes in 67 consecutive cases in San Diego. Medicine61:237–246 [CrossRef][PubMed]
    [Google Scholar]
  12. Knobloch J., Mannweiler E.. 1983; Development and persistence of antibodies to Entamoeba histolytica in patients with amebic liver abscess. analysis of 216 cases. Am J Trop Med Hyg32:727–732[PubMed]
    [Google Scholar]
  13. Lasserre R., Jaroonvesama N., Kurathong S., Soh C. T.. 1983; Single-day drug treatment of amebic liver abscess. Am J Trop Med Hyg32:723–726[PubMed]
    [Google Scholar]
  14. Liu C., Crawford J. N.. 2004; The gastrointestinal tract. In Robbins and Cotran Pathologic Basis of Disease pp.839–840 Edited by Kumar V., Abbas A. K., Fausto N.. Pennsylvania, PA: W.B. Saunders Company;
    [Google Scholar]
  15. Misra S. P., Misra V., Dwivedi M.. 2006; Ileocecal masses in patients with amoebic liver abscess: etiology and management. World J Gastroenterol12:1933–1936[PubMed][CrossRef]
    [Google Scholar]
  16. Neghina R., Neghina A. A., Merkler C., Marincu I., Iacobiciu I.. 2008; A case report of pulmonary amoebiasis with Entamoeba histolytica diagnosed in western Romania. J Infect Dev Ctries2:400–402[PubMed][CrossRef]
    [Google Scholar]
  17. Ning T. Z., Kin W. W., Mustafa S., Ahmed A., Noordin R., Cheong T. G., Alfonso O. G., Huat L. B.. 2012; Detection of Entamoeba histolytica in experimentally induced amoebic liver abscess: comparison of three staining methods. Asian Pac J Trop Biomed2:61–65 [CrossRef][PubMed]
    [Google Scholar]
  18. Parija S. C., Karki B. M.. 1999; Detection of circulating antigen in amoebic liver abscess by counter-current immunoelectrophoresis. J Med Microbiol48:99–101 [CrossRef][PubMed]
    [Google Scholar]
  19. Park W. B., Choe P. G., Jo J. H., Kim S. H., Bang J. H., Kim H. B., Kim N. J., Oh M. D., Choe K. W.. 2007; Amebic liver abscess in HIV-infected patients, Republic of Korea. Emerg Infect Dis13:516–517 [CrossRef][PubMed]
    [Google Scholar]
  20. Skappak C., Akierman S., Belga S., Novak K., Chadee K., Urbanski S. J., Church D., Beck P. L.. 2014; Invasive amoebiasis: a review of Entamoeba infections highlighted with case reports. Can J Gastroenterol Hepatol28:355–359[PubMed][CrossRef]
    [Google Scholar]
  21. Stockinger Z. T.. 2004; Colonic ameboma: its appearance on CT: report of a case. Dis Colon Rectum47:527–529 [CrossRef][PubMed]
    [Google Scholar]
  22. vanSonnenberg E., Mueller P. R., Schiffman H. R., Ferrucci J. T., Casola G., Simeone J. F., Cabrera O. A., Gosink B. B.. 1985; Intrahepatic amebic abscesses: indications for and results of percutaneous catheter drainage. Radiology156:631–635 [CrossRef][PubMed]
    [Google Scholar]
  23. Zaglool D. A., Khodari Y. A., Gazzaz Z. J., Dhafar K. O., Shaker H. A., Farooq M. U.. 2011; Prevalence of intestinal parasites among patients of Al-Noor Specialist Hospital, Makkah, Saudi Arabia. Oman Med J26:182–185 [CrossRef][PubMed]
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmmcr/10.1099/jmmcr.0.005032
Loading
/content/journal/jmmcr/10.1099/jmmcr.0.005032
Loading

Data & Media loading...

Most cited this month

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error