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Fatal case of amoebic liver abscess in a child

Ng KF 1 , Tan KK 1 , Ngui R 2 , Lim YA 2 , Amir A 2 , Rajoo Y 2 Show all authors , Hassan H 3 , Mahmud R 4

Affiliations 

  • 1 Department of Pediatric, Tuanku Jaafar Hospital, 70300, Seremban, Negeri Sembilan, Malaysia
  • 2 Department of Parasitology, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia
  • 3 Department of Medical Microbiology, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia
  • 4 Department of Parasitology, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia. Electronic address: rohela@ummc.edu.my
Asian Pac J Trop Med, 2015 Oct;8(10):878-80.
PMID: 26522307 DOI: 10.1016/j.apjtm.2015.09.018

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.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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