1921
Volume 89, Issue 6
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

Amebic liver abscess (ALA) had previously been endemic in Taiwan, particularly in the southern region, although its occurrence in the southeastern area was unknown. Thus, we conducted a retrospective study for southeastern Taiwan. We identified 14 patients who were diagnosed with ALA between July of 1995 and July of 2008. These patients were predominantly male and older in age. Most patients lived in rural areas (85.7%). Alcoholism (78.6%) and diabetes (35.7%) were risk factors for ALA. No human immunodeficiency virus (HIV) infections were detected. The most common clinical symptoms were fever (100%) and abdominal pain (100%). Short mean durations of symptoms, high bilirubin levels, and low albumin levels were also noted. Most patients (92.86%) had a single lesion, particularly in the right liver lobe (71.4%). Six patients also had secondary bacterial infections. Clinicians should be aware of the different risk factors in different regions when diagnosing amebic liver abscess in Taiwan.

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2013-12-04
2017-11-22
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References

  1. Wells CD, Arguedas M, , 2004. Amebic liver abscess. South Med J 97: 673682.[Crossref]
  2. Hsu MS, Hsieh SM, Chen MY, Hung CC, Chang SC, , 2008. Association between amebic liver abscess and human immunodeficiency virus infection in Taiwanese subjects. BMC Infect Dis 8: 4852.[Crossref]
  3. Chen HL, Chang WH, Shih SC, Lin SC, Wang TE, Chu CH, Chen YJ, Pang KK, Bair MJ, , 2008. Simultaneous Klebsiella pneumoniae and amoebic liver abscess in an immunocompetent patient. Am J Med Sci 335: 379381.[Crossref]
  4. Chuah SK, Chang-Chien CS, Sheen IS, Lin HH, Chiou SS, Chiu CT, Kuo CH, Chen JJ, Chiu KW, , 1992. The prognostic factors of severe amebic liver abscess: a retrospective study of 125 cases. Am J Trop Med Hyg 46: 398402.
  5. Lee YJ, Chen KJ, Yang CH, Lin YC, Liu HY, Liao ST, Lee YJ, , 2009. Characteristics of amebic liver abscess in patients with or without human immunodeficiency virus. J Microbiol Immunol Infect 42: 500504.
  6. Wu KS, Tsai HC, Lee SS, Liu YC, Wann SR, Wang YH, Mai MH, Chen JK, Sy CL, Chen KM, Chen YJ, Chen YS, , 2008. Comparison of clinical characteristics of amebic liver abscess in human immunodeficiency virus (HIV)-infected and non-HIV-infected patients. J Microbiol Immunol Infect 41: 456461.
  7. Shyam M, Gehlot RS, Alok M, Narendra B, . , 2002. Clinical profile of amoebic liver abscess. The Journal, Indian Academy of Clinical Medicine 3: 367373.
  8. Seeto RK, Rockey DC, , 1999. Amebic liver abscess: epidemiology, clinical features, and outcome. West J Med 170: 104109.
  9. Shandera WX, Bollam P, Hashmey RH, Athey PA, Greenberg SB, White AC, Jr, 1999. Hepatic amebiasis among patients in a public teaching hospital. South Med J 91: 829837.[Crossref]
  10. Hoffner RJ, Kilaghbian T, Esekogwu VI, Henderson SO, , 1999. Common presentations of amebic liver abscess. Ann Emerg Med 34: 351355.[Crossref]
  11. Wu SI, Liu SI, Fang CK, Hsu CC, Sun YW, , 2006. Prevalence and detection of alcohol use disorders among general hospital inpatients in eastern Taiwan. Gen Hosp Psychiatry 28: 4854.[Crossref]
  12. Cheng AT, Chen WJ, , 1995. Alcoholism among four aboriginal groups in Taiwan: high prevalences and their implications. Alcohol Clin Exp Res 19: 8191.[Crossref]
  13. Katzenstein D, Rickerson V, Braude A, , 1982. New concepts of amoebic liver abscess derived from hepatic imaging, serodiagnosis, and hepatic enzymes in 67 consecutive cases in San Diego. Medicine 61: 237246.[Crossref]
  14. Centers for Disease Control, 2004. Statistics of Communicable Diseases and Surveillance Report in Taiwan Areas. Taiwan: Centers for Disease Control.
  15. Tsai JJ, Sun HY, Ke LY, Tsai KS, Chang SY, Hsieh SM, Hsiao CF, Yen JH, Hung CC, Chang SC, , 2006. Higher seroprevalence of Entamoeba histolytica infection is associated with human immunodeficiency virus type 1 infection in Taiwan. Am J Trop Med Hyg 74: 10161019.
  16. Lee KC, Yamazaki O, Hamba H, Sakaue Y, Kinoshita H, Hirohashi K, Kubo S, , 1996. Analysis of 69 patients with amoebic liver abscess. J Gastroenterol 31: 4045.[Crossref]
  17. Hughes MA, Petri WA, Jr, 2000. Amebic liver abscess. Infect Dis Clin North Am 14: 565568.[Crossref]
  18. Lodhi S, Sarwari AR, Muzammil M, Salam A, Smego RA, , 2004. Features distinguishing amoebic from pyogenic liver abscess: a review of 577 adult cases. Trop Med Int Health 9: 718723.[Crossref]
  19. Salata RA, Martinez-Palomo A, Canales L, Murray HW, Trevino N, Ravdin JI, , 1990. Suppression of T-lymphocyte responses to Entamoeba histolytica antigen by immune sera. Infect Immun 58: 39413946.
  20. Lambertucci JR, Rayes AA, Serufo JC, Nobre V, , 2001. Pyogenic abscesses and parasitic diseases. Rev Inst Med Trop Sao Paulo 43: 6774.[Crossref]
  21. Lambertucci JR, Rayes AA, Serufo JC, Gerspacher-Lara R, Brasileiro Filho G, Teixeira R, Antues CM, Goes AM, Coelho PM, , 1998. Schistosomiasis and associated infections. Mem Inst Oswaldo Cruz 93 (Suppl 1): 135139.[Crossref]
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  • Received : 29 May 2013
  • Accepted : 11 Sep 2013

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