Villarreal C, Cano C, Estrada J, Jimenez E; International Conference on AIDS.
Int Conf AIDS. 1990 Jun 20-23; 6: 385 (abstract no. 2124).
Hospital of Infectious Diseases Medical Center "La Raza" IMSS, Mexico City, Mexico
OBJECTIVE: To let know that the amoebic abscess of the liver, in spite of being so frequent in our country, is rare in patients infected by HIV. METHODS: A selection was made of all the patients with infection by HIV and amoebic abscess of the liver in a period of 5 years. A clinical variety of HIV was established according to the Atlanta CDC classification, as well as the time of evolution of the amoebiasis, clinical studies, ultra-sound and/or hepatic gammagraphy, amoeba serology response to treatment and evolution. RESULTS: Out of 650 patients, amoebic abscess of the liver was found in only 8 of them (1.23%) Four belonged to group II (carrier), three to group III (persistent lymphoadenopathy) and one to group IV year old lung and ganglionar tuberculosis, they all presented fever, four (50%) diarrhea, hepatology and hepatomegalia. Only one of them presented leucocytosis. Five had significant titles in the amoeba serology. All of them were treated with metronidazole and responded very well to the treatment. There were no deaths during the acute event. DISCUSSION: The low incidence of amoebic abscess of the liver in patients infected by HIV calls our attention. Even more so if we take into account the fact that amoebiasis is frequent among homosexuals even in developed countries.
Publication Types:
Keywords:
- AIDS Vaccines
- Acquired Immunodeficiency Syndrome
- Amebiasis
- HIV Infections
- HIV Seropositivity
- Humans
- Liver Abscess
- Liver Extracts
- Metronidazole
- Serologic Tests
- methods
- organization & administration
Other ID:
UI: 102197131
From Meeting Abstracts