Amebic Liver Abscesses: A New Epidemiological Trend in a Non-endemic Area?
Background: Amoebic liver abscess (ALA) is the most common extraintestinal complication of colonic amebiasis. In recent decades its incidence in developed European countries has significantly increased because of travel and immigration of individuals from highly endemic areas. We report our 29-year...
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| Veröffentlicht in: | In vivo (Athens) 2009-11, Vol.23 (6), p.1027-1030 |
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| creator | Giorgio, A Esposito, V Farella, N Di Sarno, A Liorre, G DE Stefano, M Giorgio, V DE Stefano, G |
| description | Background: Amoebic liver abscess (ALA) is the most common extraintestinal complication of colonic amebiasis. In recent decades
its incidence in developed European countries has significantly increased because of travel and immigration of individuals
from highly endemic areas. We report our 29-year experience in echo-guided percutaneous needle/catheter drainage (EPND/EPCD)
of ALA. Patients and Methods: From May 1979 to November 2007, 68 ALA corresponding to 56 patients were diagnosed at our Department.
All patients were treated with a metronidazole plus EPND/EPCD approach. Results: The majority of the cases did not need more
than two echo-guided punctures. Two patients, both male immigrants (HIV-negative), had unmodified lesions after two EPNDs:
catheter drainage was performed. A quick worsening of their clinical conditions and onset of neurological symptoms occurred;
in both patients, computed tomography (CT) revealed a brain abscess. Intravenous medical therapy was started, but both died
4 and 3 days, respectively, after the onset of neurological symptoms (overall mortality rate: 3.57%). Conclusion: The unfavorable
outcome of two cases is a rare example of failure of percutaneous therapy of ALA. Mortality is a possible event even in a
non-endemic area such as Italy. More observational data are needed to confirm the possibility of a new epidemiological trend. |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_733694431</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>733694431</sourcerecordid><originalsourceid>FETCH-LOGICAL-h240t-3e70520f123cb3544906a886b94ed018606b988fe9588a44118f2282e6a008303</originalsourceid><addsrcrecordid>eNo1z0tLw0AQB_BFFFurX0H2Ip4Cs89svEgorQ9KvVTwtmySSbuSR832gd_ehdbTf4b5McxckDFLM5akSmaXZAxcmcQo9jUiNyF8A-gUgF-TEY8huGJj8p63WPiSLvwBB5oXocQQMDzRnC7xSGdbX2Hr-6Zf-9I1dDVgV1HfUUeXfZfEJk5Lmg_onm_JVe2agHfnnJDP-Ww1fU0WHy9v03yRbLiEXSIwBcWhZlyUhVBSZqCdMbrIJFbAjIZYGlNjpoxxUjJmas4NR-0AjAAxIY-nvduh_9lj2NnWx7ObxnXY74NNhdCZlIJFeX-W-6LFym4H37rh1_6_H8HDCWz8enP0A9rQuqaJXFh_4MJqy4Cn4g_eQGBu</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>733694431</pqid></control><display><type>article</type><title>Amebic Liver Abscesses: A New Epidemiological Trend in a Non-endemic Area?</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Giorgio, A ; Esposito, V ; Farella, N ; Di Sarno, A ; Liorre, G ; DE Stefano, M ; Giorgio, V ; DE Stefano, G</creator><creatorcontrib>Giorgio, A ; Esposito, V ; Farella, N ; Di Sarno, A ; Liorre, G ; DE Stefano, M ; Giorgio, V ; DE Stefano, G</creatorcontrib><description>Background: Amoebic liver abscess (ALA) is the most common extraintestinal complication of colonic amebiasis. In recent decades
its incidence in developed European countries has significantly increased because of travel and immigration of individuals
from highly endemic areas. We report our 29-year experience in echo-guided percutaneous needle/catheter drainage (EPND/EPCD)
of ALA. Patients and Methods: From May 1979 to November 2007, 68 ALA corresponding to 56 patients were diagnosed at our Department.
All patients were treated with a metronidazole plus EPND/EPCD approach. Results: The majority of the cases did not need more
than two echo-guided punctures. Two patients, both male immigrants (HIV-negative), had unmodified lesions after two EPNDs:
catheter drainage was performed. A quick worsening of their clinical conditions and onset of neurological symptoms occurred;
in both patients, computed tomography (CT) revealed a brain abscess. Intravenous medical therapy was started, but both died
4 and 3 days, respectively, after the onset of neurological symptoms (overall mortality rate: 3.57%). Conclusion: The unfavorable
outcome of two cases is a rare example of failure of percutaneous therapy of ALA. Mortality is a possible event even in a
non-endemic area such as Italy. More observational data are needed to confirm the possibility of a new epidemiological trend.</description><identifier>ISSN: 0258-851X</identifier><identifier>EISSN: 1791-7549</identifier><identifier>PMID: 20023251</identifier><language>eng</language><publisher>Greece: International Institute of Anticancer Research</publisher><subject>Adult ; Antiprotozoal Agents - therapeutic use ; Brain Abscess - parasitology ; Combined Modality Therapy ; Drainage - methods ; Female ; Humans ; Italy - epidemiology ; Liver Abscess, Amebic - epidemiology ; Liver Abscess, Amebic - pathology ; Liver Abscess, Amebic - therapy ; Male ; Metronidazole - therapeutic use ; Therapeutic Irrigation - instrumentation ; Therapeutic Irrigation - methods ; Tomography, X-Ray Computed ; Transients and Migrants ; Ultrasonography, Interventional - methods</subject><ispartof>In vivo (Athens), 2009-11, Vol.23 (6), p.1027-1030</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20023251$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Giorgio, A</creatorcontrib><creatorcontrib>Esposito, V</creatorcontrib><creatorcontrib>Farella, N</creatorcontrib><creatorcontrib>Di Sarno, A</creatorcontrib><creatorcontrib>Liorre, G</creatorcontrib><creatorcontrib>DE Stefano, M</creatorcontrib><creatorcontrib>Giorgio, V</creatorcontrib><creatorcontrib>DE Stefano, G</creatorcontrib><title>Amebic Liver Abscesses: A New Epidemiological Trend in a Non-endemic Area?</title><title>In vivo (Athens)</title><addtitle>In Vivo</addtitle><description>Background: Amoebic liver abscess (ALA) is the most common extraintestinal complication of colonic amebiasis. In recent decades
its incidence in developed European countries has significantly increased because of travel and immigration of individuals
from highly endemic areas. We report our 29-year experience in echo-guided percutaneous needle/catheter drainage (EPND/EPCD)
of ALA. Patients and Methods: From May 1979 to November 2007, 68 ALA corresponding to 56 patients were diagnosed at our Department.
All patients were treated with a metronidazole plus EPND/EPCD approach. Results: The majority of the cases did not need more
than two echo-guided punctures. Two patients, both male immigrants (HIV-negative), had unmodified lesions after two EPNDs:
catheter drainage was performed. A quick worsening of their clinical conditions and onset of neurological symptoms occurred;
in both patients, computed tomography (CT) revealed a brain abscess. Intravenous medical therapy was started, but both died
4 and 3 days, respectively, after the onset of neurological symptoms (overall mortality rate: 3.57%). Conclusion: The unfavorable
outcome of two cases is a rare example of failure of percutaneous therapy of ALA. Mortality is a possible event even in a
non-endemic area such as Italy. More observational data are needed to confirm the possibility of a new epidemiological trend.</description><subject>Adult</subject><subject>Antiprotozoal Agents - therapeutic use</subject><subject>Brain Abscess - parasitology</subject><subject>Combined Modality Therapy</subject><subject>Drainage - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Italy - epidemiology</subject><subject>Liver Abscess, Amebic - epidemiology</subject><subject>Liver Abscess, Amebic - pathology</subject><subject>Liver Abscess, Amebic - therapy</subject><subject>Male</subject><subject>Metronidazole - therapeutic use</subject><subject>Therapeutic Irrigation - instrumentation</subject><subject>Therapeutic Irrigation - methods</subject><subject>Tomography, X-Ray Computed</subject><subject>Transients and Migrants</subject><subject>Ultrasonography, Interventional - methods</subject><issn>0258-851X</issn><issn>1791-7549</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1z0tLw0AQB_BFFFurX0H2Ip4Cs89svEgorQ9KvVTwtmySSbuSR832gd_ehdbTf4b5McxckDFLM5akSmaXZAxcmcQo9jUiNyF8A-gUgF-TEY8huGJj8p63WPiSLvwBB5oXocQQMDzRnC7xSGdbX2Hr-6Zf-9I1dDVgV1HfUUeXfZfEJk5Lmg_onm_JVe2agHfnnJDP-Ww1fU0WHy9v03yRbLiEXSIwBcWhZlyUhVBSZqCdMbrIJFbAjIZYGlNjpoxxUjJmas4NR-0AjAAxIY-nvduh_9lj2NnWx7ObxnXY74NNhdCZlIJFeX-W-6LFym4H37rh1_6_H8HDCWz8enP0A9rQuqaJXFh_4MJqy4Cn4g_eQGBu</recordid><startdate>20091101</startdate><enddate>20091101</enddate><creator>Giorgio, A</creator><creator>Esposito, V</creator><creator>Farella, N</creator><creator>Di Sarno, A</creator><creator>Liorre, G</creator><creator>DE Stefano, M</creator><creator>Giorgio, V</creator><creator>DE Stefano, G</creator><general>International Institute of Anticancer Research</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20091101</creationdate><title>Amebic Liver Abscesses: A New Epidemiological Trend in a Non-endemic Area?</title><author>Giorgio, A ; Esposito, V ; Farella, N ; Di Sarno, A ; Liorre, G ; DE Stefano, M ; Giorgio, V ; DE Stefano, G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h240t-3e70520f123cb3544906a886b94ed018606b988fe9588a44118f2282e6a008303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Antiprotozoal Agents - therapeutic use</topic><topic>Brain Abscess - parasitology</topic><topic>Combined Modality Therapy</topic><topic>Drainage - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Italy - epidemiology</topic><topic>Liver Abscess, Amebic - epidemiology</topic><topic>Liver Abscess, Amebic - pathology</topic><topic>Liver Abscess, Amebic - therapy</topic><topic>Male</topic><topic>Metronidazole - therapeutic use</topic><topic>Therapeutic Irrigation - instrumentation</topic><topic>Therapeutic Irrigation - methods</topic><topic>Tomography, X-Ray Computed</topic><topic>Transients and Migrants</topic><topic>Ultrasonography, Interventional - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Giorgio, A</creatorcontrib><creatorcontrib>Esposito, V</creatorcontrib><creatorcontrib>Farella, N</creatorcontrib><creatorcontrib>Di Sarno, A</creatorcontrib><creatorcontrib>Liorre, G</creatorcontrib><creatorcontrib>DE Stefano, M</creatorcontrib><creatorcontrib>Giorgio, V</creatorcontrib><creatorcontrib>DE Stefano, G</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>In vivo (Athens)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Giorgio, A</au><au>Esposito, V</au><au>Farella, N</au><au>Di Sarno, A</au><au>Liorre, G</au><au>DE Stefano, M</au><au>Giorgio, V</au><au>DE Stefano, G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Amebic Liver Abscesses: A New Epidemiological Trend in a Non-endemic Area?</atitle><jtitle>In vivo (Athens)</jtitle><addtitle>In Vivo</addtitle><date>2009-11-01</date><risdate>2009</risdate><volume>23</volume><issue>6</issue><spage>1027</spage><epage>1030</epage><pages>1027-1030</pages><issn>0258-851X</issn><eissn>1791-7549</eissn><abstract>Background: Amoebic liver abscess (ALA) is the most common extraintestinal complication of colonic amebiasis. In recent decades
its incidence in developed European countries has significantly increased because of travel and immigration of individuals
from highly endemic areas. We report our 29-year experience in echo-guided percutaneous needle/catheter drainage (EPND/EPCD)
of ALA. Patients and Methods: From May 1979 to November 2007, 68 ALA corresponding to 56 patients were diagnosed at our Department.
All patients were treated with a metronidazole plus EPND/EPCD approach. Results: The majority of the cases did not need more
than two echo-guided punctures. Two patients, both male immigrants (HIV-negative), had unmodified lesions after two EPNDs:
catheter drainage was performed. A quick worsening of their clinical conditions and onset of neurological symptoms occurred;
in both patients, computed tomography (CT) revealed a brain abscess. Intravenous medical therapy was started, but both died
4 and 3 days, respectively, after the onset of neurological symptoms (overall mortality rate: 3.57%). Conclusion: The unfavorable
outcome of two cases is a rare example of failure of percutaneous therapy of ALA. Mortality is a possible event even in a
non-endemic area such as Italy. More observational data are needed to confirm the possibility of a new epidemiological trend.</abstract><cop>Greece</cop><pub>International Institute of Anticancer Research</pub><pmid>20023251</pmid><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult Antiprotozoal Agents - therapeutic use Brain Abscess - parasitology Combined Modality Therapy Drainage - methods Female Humans Italy - epidemiology Liver Abscess, Amebic - epidemiology Liver Abscess, Amebic - pathology Liver Abscess, Amebic - therapy Male Metronidazole - therapeutic use Therapeutic Irrigation - instrumentation Therapeutic Irrigation - methods Tomography, X-Ray Computed Transients and Migrants Ultrasonography, Interventional - methods |
| title | Amebic Liver Abscesses: A New Epidemiological Trend in a Non-endemic Area? |
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