TITLE

Amebic Liver Abscess

AUTHOR(S)
Stevens, Dennis L.; Taylor, Roy G.; Everett, E. Dale; Owensby, Loren; McNitt, Theodore R.
PUB. DATE
September 1979
SOURCE
American Journal of Gastroenterology;Sep1979, Vol. 72 Issue 3, p234
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
We present a patient with an acute amebic liver abscess with nonreactive serologic tests. Motile hematophagous trophozoites of Entamoeba histolytica were seen microscopically in scrapings from the wall of the abscess. Postoperative serologies revealed rapidly rising then falling titers by SAFA and IHA antibody assays. Serologic tests for amebiasis may be reactive in greater than 95% of patients with invasive amebiasis. Nevertheless, a reactive serologic test should not be relied upon exclusively to establish the diagnosis. Sequential serologic testing and surgical intervention to obtain material for microscopic examination, gram stain and bacteriologic culture are warranted in patients with hepatic abscess and nonreactive serologic tests for antibodies to E. histolytica.
ACCESSION #
16319996

 

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