Amebic Liver Abscess Complicated With Inferior Vena Cava Obstruction

J. Cho, Min Sung Kim, J. Shin, Y. Jeong, G. Lim, N. Kang, Jae-phil Choi, Chul Hi Park, Min Young Kim
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引用次数: 2

Abstract

Amebic liver abscess (ALA) has been diagnosed in travelers to endemic areas or in patients with immunosuppression secondary to human immunodeficiency virus infection since the late 1990s. Further, it is a rare disease in Korea. ALA should be considered in patients present with fever and right upper quadrant pain along with a risk of exposure to amebiasis. We report an 82-year-old man with symptoms of fever, gross hematuria and severe renal impairment as having amebic liver abscess complicated with the obstruction of the inferior vena cava. Amebic liver abscess was successfully treated with antibiotics alone. Also, hematuria disappeared and renal dysfunction improved after treatment.
阿米巴肝脓肿合并下腔静脉梗阻
自20世纪90年代末以来,阿米巴肝脓肿(ALA)在前往流行地区的旅行者或继发于人类免疫缺陷病毒感染的免疫抑制患者中被诊断出来。而且,这是一种罕见的疾病。在出现发热和右上腹疼痛并有阿米巴病暴露风险的患者中应考虑ALA。我们报告一位82岁男性,有发热、肉眼血尿和严重肾功能损害的症状,并有阿米巴肝脓肿并发下腔静脉梗阻。阿米巴肝脓肿单药治疗成功。治疗后血尿消失,肾功能改善。
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