症例報告経過を追跡しえたアメーバ性肝膿瘍の一例

若杉 聡; 長谷川 浩一; 片倉 重弘; 佐藤 温; 左近司 光明; 竹本 達哉; 杉本 裕之; 松川 正明; 栗原 稔

doi:10.14930/jsma1939.53.395

A CASE OF AMEBIC LIVER ABSCESS THAT DISAPPEARED AT 17 MONTHS ON CT SCAN AFTER ONSET

Satoshi WAKASUGI, Kouichi HASEGAWA, Shigehiro KATAKURA, Atsusi SATOU, Mitsuaki SAKONJI, Tatsuya TAKEMOTO, Hiroyuki SUGIMOTO, Masaaki MATSUKAWA, Minoru KURIHARA

Author information

Satoshi WAKASUGI
Department of Gastroenterology, Showa University Toyosu Hospital
Kouichi HASEGAWA
Department of Gastroenterology, Showa University Toyosu Hospital
Shigehiro KATAKURA
Department of Gastroenterology, Showa University Toyosu Hospital
Atsusi SATOU
Department of Gastroenterology, Showa University Toyosu Hospital
Mitsuaki SAKONJI
Department of Gastroenterology, Showa University Toyosu Hospital
Tatsuya TAKEMOTO
Department of Gastroenterology, Tsuboi Hospital
Hiroyuki SUGIMOTO
Department of Gastroenterology, Tsuboi Hospital
Masaaki MATSUKAWA
Department of Gastroenterology, Tsuboi Hospital
Minoru KURIHARA
Department of Gastroenterology, Tsuboi Hospital

Keywords: amebic liver abscess, homosexual man, resolution time of abscess, abdominal CT

JOURNAL FREE ACCESS

1993 Volume 53 Issue 4 Pages 395-400

DOI https://doi.org/10.14930/jsma1939.53.395

Details

Abstract

The patient was a 36-year-old man suffering from fever and right hypochondralgia. The white blood cell count was 25, 900/μl and CRP value was 21.9mg/dl. Abdominal ultrasound examination revealed a large abscess about 120 mm in diameter. Neither cyst nor trophozoite could be found in the stool or the liver pus from the drainage tube. He was homosexual and suspected to have amebic liver abscess. He was treated with metroindazole. Finally, the titer of antibody toEntamoeba histolyticawas 1: 6400 and we made a diagnosis of amebic liver abscess. The patient's condition improved, but the abscess cavity did not disappear until 17 months after onset on CT scan.

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