Tuesday, November 25, 2008

What is the amebic liver abscess

Liver abscess is dissolved or bacterial histolytica parasite infection of the liver caused by the organization or a single hair of purulent lesions. This disease is a secondary disease, the bacterial infection known as bacterial liver abscess, common pathogens as E. coli and staphylococcus, streptococcus and anhydride production Jundeng rare. More in secondary biliary system, the portal system, hepatic artery, near the intra-abdominal organs infected with the liver as well as post-traumatic secondary infection; caused by the parasite Entamoeba are known as amoebic liver abscess, secondary to the amoeba enteropathy . Amebic liver abscess is (amebic liver abscess) enteropathy amoeba of the most common complications of long-term fever, right upper quadrant or right lower chest pain, general consumption of tenderness and swelling of the liver, such as the number of white blood cell as the main clinical manifestations , And easy to lead to chest complications. Swelling of the liver of the basic points for the clinical diagnosis: ① right upper quadrant pain, fever, liver enlargement and tenderness; ② X-ray check up on the right side of the diaphragm, the Sports weakened; ③ ultrasound examinations showed that liver-zone liquid paragraph. If puncture Liver was typical of pus, or pus found in amoeba trophozoites, or specific anti-amoebic drug treatment have a good effect can be diagnosed with amebic liver abscess. Amebic liver abscess secondary to the main complications of bacterial infections and abscesses to break through surrounding tissue. Secondary bacterial infection shivering, fever more pronounced, increasing the toxemia, the total number of white blood cells and neutrophils were significantly increased. Yellow-green was pus, or smell, a large number of Nongxi Bao microscope, but the bacterial culture-positive rate is not high. Amebic liver abscess locust pierced the surrounding organs, such as the diaphragm through the formation of empyema, or lung abscess, caused by perforation to bronchial pleural - lung - bronchial fistula, pierced pericardium, or abdominal cavity to cause pericarditis or peritonitis, perforation to Stomach, large intestine, the inferior vena cava, the common bile duct, the right side of the pelvis, etc., the Entamoeba organs caused by the disease. In addition to the perforation to the formation of the gastrointestinal tract or liver - bronchial fistula, most of the bad prognosis.

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