Abstract
We report eight cases of amebic liver abscess. All patients were men, and four were homosexual. Five of the eight patients had syphilis, but the four homosexual patients who were tested for HIV infection were negative. Ultrasonography (US), with or without needle aspiration, is the best method for diagnosing amebic liver abscess, and the treatment of choice is US-guided needle aspiration of the abscess followed by metronidazole therapy. Complication by other sexually transmitted diseases is another important factor affecting the treatment of this disease.
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Plorde JJ. Amebiasis. In: Braunwald E, Isselbacher KJ, Peterdorf RG (eds) Harrison's principles of internal medicine. 11th ed. New York: McGraw-Hill, 1987;773–778.
Alisson-Jones E, Mindel A, Sargeaunt P, Williams P.Enamoeba histolytica as a common intestinal parasite in homosexual men. N Engl J Med 1986;315:353–356.
Quinn TC, Stamm WE, Goodwell SE. The polymicrobial origin of intestinal infections in homosexual men. N Engl J Med 1983;309:576–582.
Mildvan D, Gelb AM, William D. Venereal transmission of enteric pathogens in male homosexuals: Two case reports. JAMA 1977;238:1387–1389.
Schmerin MJ, Gelston A, Jones TC. Amebiasis: An increasing problem among homosexuals in New York. JAMA 1977;238:1386–1387.
Burnham WR, Reeve RS, Finch RG.Emamoeba histolytica infection in male homosexuals. Gut 1980;21:1097–1099.
Hurwitz AL, Owin RL. Venereal transmission of intestinal parasites. West J Med 1978;128:89–91.
Keystone JS, Keystone DL, Proctor EM. Intestinal parasitic infections in homosexual men: Prevalence, symptoms, and factors in transmission. Can Med Assoc J 1980;123:512–514.
Aoki R. Current status ofEntamoeba histolytica (in Japanese). Konnichi no Kansenshou 1984;3:17–19.
Katzenstein D, Rickerson V, Braude A. New concept of amebic liver abscess derived from hepatic imaging, serodiagnosis, and hepatic enzymes in 67 consecutive cases in San Diego. Medicine 1982;61:237–246.
Nagao I, Ohtomo H, Noda N. Fundamental study on serological diagnosis of amoebiasis. 3. Serological survey of amoebiasis in blood donors showing seropositivity for syphylis. J Jpn Assoc Infect Dis 1991;65:1–6.
Guerrant RI. Amebiasis: Introduction, current status and research questions. Rev Infect Dis 1986;8:218–221.
Walsh JA. Problems in recognition and diagnosis of amebiasis: Estimation of the global magnitude of morbidity and mortality. Rev Infect Dis 1986;8:228–238.
Ravidin JL. Pathogenesis of disease caused byEntamoeba histolytica: Studies of adherence, secreted toxins and contact-dependent cytolysis. Rev Infect Dis 1986;8:247–260.
Jarvetz E, Melnick JL, Adelbery EA (eds). Review of medical biology. 17th ed. Palo Alto: Appleton and Lange, 1987.
Adams EB, MacLeed IN. Invasive amebiasis II. Amebic liver abscess and its complications. Medicine 1977;56:315–323.
Maltz G, Knauer CM. Amebic liver abscess: Fifteen year's experience. Am J Gastroenterol 1991;86:704–709.
Berry M, Bazaz R, Bhargava S: Amebic liver abscess: Sonographic diagnosis and management. JCU 1986;14:239–242.
Rallo RW, Henley DS, Dolleti PM et al. Amebic liver abscess: MR imaging. Radiology 1987;165:795–800.
Kean BH, William DC, Luminais SK. Endemic of amoebiasis and giardiasis in a based population. Br J Vener Dis 1979;55:375–378.
Chin ATL, Gerken A. Carriage of intestinal protozoal cysts in homosexuals. Br J Vener Dis 1984;60:193–195.
Saugeauni PG, Oates JK, MacLennan I, Oriel JD, Goldmeier D:Entamoeba histolytica in male homosexuals. Br J Vener Dis 1983;59:193–195.
Markell EK, Haven RF, Kunitsubo BA, Wingerd J. Intestinal protozoa in homosexual men of the San Francisco Bay Area. Am J Trop Med Hyg 1984;33:239–245.
Pearce RB. Intestinal protozoal infections and AIDS. Lancet 1983;II:51.
Takada T. Epidemiology ofEntamoeba histolytica (in Japanese). Saishin Igaku 1989;44:730–736.
Shikama Y. Estimate and projection of HIV/AIDS in Japan. (in Japanese). Sogo Rinshou 1994;43:1279–1282.
Mueller GP, Williams RA. Surgical infections in AIDS patients. Am J Surg 1995;169(Suppl):34S-38S.
Kundaje GN. Ultrasound-guided needle aspiration of amebic liver abscess. Postgrad Med J 1993;69:381–383.
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Fujihara, T., Nagai, Y., Kubo, T. et al. Amebic liver abscess. J Gastroenterol 31, 659–663 (1996). https://doi.org/10.1007/BF02347613
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DOI: https://doi.org/10.1007/BF02347613