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GINMU >
03 紀要 >
031 Journal of Nara Medical Association >
Vol.52 No.4 >
Please use this identifier to cite or link to this item:
http://hdl.handle.net/10564/669
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| Title: | アメーバ性肝膿瘍を発症した男性同性愛者の1例 |
| Other Titles: | A CASEE OF AMOEBIC LIVER ABSCESS IN A HOMOSEXUAL MAN |
| Authors: | 森下, 佐紀
杉本, 有美
相澤, 茂幸
小島, 邦行
徳岡, 泰紀
森岡, 千恵
澤井, 正佳
榑松, 由佳子
簗瀬, 公嗣
山本, 浩治
餅, 忠雄
辻之上, 裕久
福井, 博
吉川, 正英
石坂, 重昭 |
| Keywords: | Entamoeba histolytica
liver abscess
homosexual man |
| Issue Date: | 28-Aug-2001 |
| Publisher: | 奈良医学会 |
| Citation: | Journal of Nara Medical Association Vol.52 No.4 p.150-153 |
| Abstract: | We report a case of amoebic liver abscess in which the infection with
Entamoeba histolytica (E.histolytica) was caused through homosexuality. The patient was a
51-year-old man who was married and had a daughter. He visited a doctor after
enduring a fever for ten days. A blood examination disclosed leukocytosis with
neutrophil prevalence (WBC 16600 /μl, 82% neutrophils) and abnormal liver function
(AST 55 IU/ml, ALT 114 IU/ml, ALP 784 IU/ml). An abdominal ultrasonography
revealed a space-occupying lesion (SOL) in the liver. He was admitted to our hospital for
further evaluation. Magnetic resonance image demonstrated that the hepatic SOL was an
abscess, 7cm in diameter. Chemotherapy with antibiotics, PIPC, and percutaneous
transhepatic abscess drainage (PTAD) were immediately performed. E.histolytica was not
detected in the drained effluent. Although those treatments seemed to be effective, a
serological examination revealed that he was positive to E. histolytica. Repeated interviews
clarified homosexuality, and the re-examination of the effluent in PTAD duct
demonstrated an amoebic form of E.histolytica. The patient was successfully treated with
metronidazole and discharged on the 31st hospital day. In diagnosing the hepatic
amoebasis, serological examination is greatly useful, specially when the detection of
E.histolytica has been unsuccessful. |
| URI: | http://hdl.handle.net/10564/669 |
| ISSN: | 13450069 |
| Appears in Collections: | Vol.52 No.4
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Files in This Item:
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Size | Format |
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| 150-153p.アメーバ性肝膿瘍を発症した男性同性愛者の1例.pdf | | 688Kb | Adobe PDF | View/Open |
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