-transparent.png){kind=logo}
BACKGROUND Painful liver enlargement with fever are common signs of hepatic ambiasis. Exceptionally, atypical signs may also occur including symptoms suggesting renal sepsis. METHODS An 18-year-old woman from the New Caledonia was hospitalized in metropolitan France for suspected right-sided acute pyelonephritis. Urinalysis was normal and the kidney ultrasound suggested the need for an abdominal CT-scan which evidenced a voluminous 10-cm abscess pus. Serology for amebia was positive, confirming the diagnosis of hepatic amebic abscess. Outcome was rapidly favorable with intravenous anti-parasite treatment amebic abscess. Outcome was rapidly favorable with intravenous anti-parasite treatment and percutaneous drainage. CONCLUSIONS Atypical signs of hepatic ambiasis may mislead diagnosis. The absence of a fetid odor at puncture helps guide diagnosis, confirmed by serology. Percutaneous drainage can hbe proposed for voluminous abscesses or if the risk of extrahepatic complications is eminent.
N Sembach, and
A Levy, and
G Cadoche, and
R Masmoudi, and
A Davido
December 1999,
Urology,
N Sembach, and
A Levy, and
G Cadoche, and
R Masmoudi, and
A Davido
May 1998,
The American journal of gastroenterology,
N Sembach, and
A Levy, and
G Cadoche, and
R Masmoudi, and
A Davido
March 2003,
Anales de medicina interna (Madrid, Spain : 1984),
N Sembach, and
A Levy, and
G Cadoche, and
R Masmoudi, and
A Davido
January 1993,
The British journal of clinical practice,
N Sembach, and
A Levy, and
G Cadoche, and
R Masmoudi, and
A Davido
December 1976,
Archives of surgery (Chicago, Ill. : 1960),
N Sembach, and
A Levy, and
G Cadoche, and
R Masmoudi, and
A Davido
January 1950,
Gazette medicale de France,
N Sembach, and
A Levy, and
G Cadoche, and
R Masmoudi, and
A Davido
February 1962,
La Prensa medica mexicana,
N Sembach, and
A Levy, and
G Cadoche, and
R Masmoudi, and
A Davido
January 1981,
Hepatology (Baltimore, Md.),
N Sembach, and
A Levy, and
G Cadoche, and
R Masmoudi, and
A Davido
March 2017,
Clinical case reports,
N Sembach, and
A Levy, and
G Cadoche, and
R Masmoudi, and
A Davido
November 1997,
The American surgeon,
