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01 奈良県立医科大学 >
011 医学部 >
0112 紀要 >
01121 Journal of Nara Medical Association >
Vol.52 No.4 >
このアイテムの引用には次の識別子を使用してください:
http://hdl.handle.net/10564/669
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タイトル: | アメーバ性肝膿瘍を発症した男性同性愛者の1例 |
その他のタイトル: | A CASEE OF AMOEBIC LIVER ABSCESS IN A HOMOSEXUAL MAN |
著者: | 森下, 佐紀 杉本, 有美 相澤, 茂幸 小島, 邦行 徳岡, 泰紀 森岡, 千恵 澤井, 正佳 榑松, 由佳子 簗瀬, 公嗣 山本, 浩治 餅, 忠雄 辻之上, 裕久 福井, 博 吉川, 正英 石坂, 重昭 |
キーワード: | Entamoeba histolytica liver abscess homosexual man |
発行日: | 2001年8月28日 |
出版者: | 奈良医学会 奈良県立医科大学 |
引用: | Journal of Nara Medical Association Vol.52 No.4 p.150-153 |
抄録: | We report a case of amoebic liver abscess in which the infection with
Entamoeba histolytica (E.histolytica) was caused through homosexuality. The patient was a
51-year-old man who was married and had a daughter. He visited a doctor after
enduring a fever for ten days. A blood examination disclosed leukocytosis with
neutrophil prevalence (WBC 16600 /μl, 82% neutrophils) and abnormal liver function
(AST 55 IU/ml, ALT 114 IU/ml, ALP 784 IU/ml). An abdominal ultrasonography
revealed a space-occupying lesion (SOL) in the liver. He was admitted to our hospital for
further evaluation. Magnetic resonance image demonstrated that the hepatic SOL was an
abscess, 7cm in diameter. Chemotherapy with antibiotics, PIPC, and percutaneous
transhepatic abscess drainage (PTAD) were immediately performed. E.histolytica was not
detected in the drained effluent. Although those treatments seemed to be effective, a
serological examination revealed that he was positive to E. histolytica. Repeated interviews
clarified homosexuality, and the re-examination of the effluent in PTAD duct
demonstrated an amoebic form of E.histolytica. The patient was successfully treated with
metronidazole and discharged on the 31st hospital day. In diagnosing the hepatic
amoebasis, serological examination is greatly useful, specially when the detection of
E.histolytica has been unsuccessful. |
URI: | http://hdl.handle.net/10564/669 |
ISSN: | 13450069 |
出現コレクション: | Vol.52 No.4
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