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Amebic Liver Abscess in Childhood: Title and subTitle BreakA Case Study of a 21-Month-Old Thai Child and a Literature Review FREE

Robert G. Scherz, MD; Pramuan Sunakorn, MD; Chotima Pathmanand, MD; Eugene McCarty, MD
[+] Author Affiliations

Received for publication Aug 28, 1972; accepted March 10, 1973.

Reprint requests to Box 361, Madigan Army Medical Center, Tacoma, WA 98431 (Dr. Scherz).


Arch Pediatr Adolesc Med. 1973;126(1):67-70. doi:10.1001/archpedi.1973.02110190059012
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A case of a 21-month-old child with hepatic abscess due to Entamoeba histolytica is presented. Serological testing included the soluble antigen fluorescent antibody test and immunoelectrophoresis.

A review of the world literature for infants and children with this entity suggests three observations: (1) Wherever the disease is indigenous among adults, it must be considered in the differential diagnosis when children present with dysentery and hepatomegaly. (2) There seems to be an increased prevalence of the childhood condition in southern Africa and Latin America. (3) Children less than 3 years old have hepatic abscess more frequently than older children.

REFERENCES

Scragg J:  Amoebic liver abscess in African children . Arch Dis Child 35:171-176, 1959;.
Lasch EE, Bruneau H:  Hepatic amebiasis in infancy and childhood: A report of 30 cases . Indian Practitioner 20:53-66, 1967;.
Salas M, Anguilo O, Esparza H:  Pathology of amebiasis in children: A study of 44 cases . Bol Med Hosp 15:185-221, 1958;.
De Bakey MD, Oshsner A:  Hepatic amebiasis: A 20 year experience and analysis of 263 cases . Int Abstr Surg 92:209-231, 1951;.
Lestrade P, Guerineau P:  L'hepatite amibienne du jeune enfant . Arch Fr Pediatr 13:728-745, 1956;.
Powell SJ, Wilmot AJ, Elson-Dew R:  Further trials of metranidazole in amebic dysentery and amebic liver abscess . Ann Trop Med Parasitol 61:511-514, 1967;.
Antani J, Srinivas HV:  Clinical evaluation of metranidazole in hepatic abscess . Am J Trop Med Hyg 19:762-766, 1970;.
Gore RE, Sadun EH:  Soluble antigen fluorescent antibody test for amebiasis . Exp Parasitol 22:316-328, 1968;.
Savanat T, Chaicumpa W:  Immunoelectrophoresis test for amebiasis . Bull WHO 40:343-353, 1968;.
Smith A, Kidal FH, Harshbarger M:  Amebic abscess of the liver in an infant . J Pediatr 47:234-236, 1955;.
Burnside WW Jr, Cummins SD:  Amebic abscess of the liver in a six-month old infant . J Pediatr 55:516-520, 1959;.
Wray CH, et al:  Surgical problems in amebiasis . Am Surg 30:780-785, 1964;.
Eaton RDP:  Amebiasis in Northern Saskatchewan: Epidemiologic considerations . Can Med Assoc J 99:706-711, 1969;.
Portillo LJ, Beltran BF:  Absceso hepatico amibiano: Observaciones sobre 100 cases . Bol Med Hosp Infant 22:710-733, 1965;.
Carrillo PE, Acosta AL:  Observaciones sobre el abseceso en el estado Trujillo, y una hipotesis para explicar su aumento . Rev Venez Sanid Asist Soc 28:237-274, 1963;.
Coronil FR, et al:  Estado actual del diagnostico del absceso hepatico en el hospital, "J.M. de los Rios," Caracas, Venezuela . Bol Soc Venez Cir 18:373- 397, 1964;.
Bravo C:  Absceso hepatico, 11: Presentacion de 22 casos en los ninos . Antioquia Med 15:427-448, 1965;.
Duque O:  Amibiasis fatal en Colombia: Estudio anatomoclinico de 220 casos y revision de la literatura Latin Americano . Antiquia Med 18:783-808, 1968;.
Walt F:  Amebic liver abscess in infancy . Trop Pediatr 6:77-83, 1959;.
Osburn HS:  Amebiasis in infancy . Clin Proc Cape Town 3:405-412, 1944;.
Gelfand M:  Amebiasis in the African infant in Rhodesia . J Trop Med Hyg 69:144-146, 1966;.
Wagle MM, et al:  Amebic liver abscess in an infant—six months old . Ind J Child Health 7:107-110, 1958;.
Mishra D, Mohanta KD:  Amebic liver abscess in an infant . Indian J Pediatr 36:481-482, 1969;.
Udani PM, et al:  Amebic liver abscess . Indian Pediatr 7:286-289, 1970;.
Garcia-Herrera E:  Amibiasis hepato-pleuro-pulmonar en los ninos . Neumologia y Cir Torax 23:393-400, 1962;.
Torroella JM, Garcia T, Villareal R:  Consideraciones sobre el absceso hepatico amibiano en los ninos . Bol Med Hosp Infant 13:1023-1035, 1956;.
Madjar LB:  Amebiasis intestinal en los ninos: Estudio postmortem de 60 casos . Bol Med Hosp Infant 23:783-789, 1966;.
Biagi F:  Algunas observaciones clinicas sobre 46 casos de ambiasis en ninos . Bol Med Hosp Infant 15:633-636, 1958;.
Krupp IM, Powell SJ:  Antibody response to invasive amebiasis in Durban, South Africa . Am J Trop Med Hyg 20:414-420, 1971;.
Krupp IM, Powell SJ:  Comparative study of antibody response in amebiasis: Persistence after successful treatment . Am J Trop Med Hyg 20:421-424, 1971;.
Yen H-P:  Amebic empyema in a child . Chinese J Pediatr 8:374-378, 1957;.
Hsiung C-C:  Amebiasis of the newborn: Report of three cases . Chinese J Pathol 4:14-23, 1958;.
Nnochiri E:  Observations on childhood amebiasis in urban family units . J Trop Med Hyg 68:231-236, 1965;.

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Scragg J:  Amoebic liver abscess in African children . Arch Dis Child 35:171-176, 1959;.
Lasch EE, Bruneau H:  Hepatic amebiasis in infancy and childhood: A report of 30 cases . Indian Practitioner 20:53-66, 1967;.
Salas M, Anguilo O, Esparza H:  Pathology of amebiasis in children: A study of 44 cases . Bol Med Hosp 15:185-221, 1958;.
De Bakey MD, Oshsner A:  Hepatic amebiasis: A 20 year experience and analysis of 263 cases . Int Abstr Surg 92:209-231, 1951;.
Lestrade P, Guerineau P:  L'hepatite amibienne du jeune enfant . Arch Fr Pediatr 13:728-745, 1956;.
Powell SJ, Wilmot AJ, Elson-Dew R:  Further trials of metranidazole in amebic dysentery and amebic liver abscess . Ann Trop Med Parasitol 61:511-514, 1967;.
Antani J, Srinivas HV:  Clinical evaluation of metranidazole in hepatic abscess . Am J Trop Med Hyg 19:762-766, 1970;.
Gore RE, Sadun EH:  Soluble antigen fluorescent antibody test for amebiasis . Exp Parasitol 22:316-328, 1968;.
Savanat T, Chaicumpa W:  Immunoelectrophoresis test for amebiasis . Bull WHO 40:343-353, 1968;.
Smith A, Kidal FH, Harshbarger M:  Amebic abscess of the liver in an infant . J Pediatr 47:234-236, 1955;.
Burnside WW Jr, Cummins SD:  Amebic abscess of the liver in a six-month old infant . J Pediatr 55:516-520, 1959;.
Wray CH, et al:  Surgical problems in amebiasis . Am Surg 30:780-785, 1964;.
Eaton RDP:  Amebiasis in Northern Saskatchewan: Epidemiologic considerations . Can Med Assoc J 99:706-711, 1969;.
Portillo LJ, Beltran BF:  Absceso hepatico amibiano: Observaciones sobre 100 cases . Bol Med Hosp Infant 22:710-733, 1965;.
Carrillo PE, Acosta AL:  Observaciones sobre el abseceso en el estado Trujillo, y una hipotesis para explicar su aumento . Rev Venez Sanid Asist Soc 28:237-274, 1963;.
Coronil FR, et al:  Estado actual del diagnostico del absceso hepatico en el hospital, "J.M. de los Rios," Caracas, Venezuela . Bol Soc Venez Cir 18:373- 397, 1964;.
Bravo C:  Absceso hepatico, 11: Presentacion de 22 casos en los ninos . Antioquia Med 15:427-448, 1965;.
Duque O:  Amibiasis fatal en Colombia: Estudio anatomoclinico de 220 casos y revision de la literatura Latin Americano . Antiquia Med 18:783-808, 1968;.
Walt F:  Amebic liver abscess in infancy . Trop Pediatr 6:77-83, 1959;.
Osburn HS:  Amebiasis in infancy . Clin Proc Cape Town 3:405-412, 1944;.
Gelfand M:  Amebiasis in the African infant in Rhodesia . J Trop Med Hyg 69:144-146, 1966;.
Wagle MM, et al:  Amebic liver abscess in an infant—six months old . Ind J Child Health 7:107-110, 1958;.
Mishra D, Mohanta KD:  Amebic liver abscess in an infant . Indian J Pediatr 36:481-482, 1969;.
Udani PM, et al:  Amebic liver abscess . Indian Pediatr 7:286-289, 1970;.
Garcia-Herrera E:  Amibiasis hepato-pleuro-pulmonar en los ninos . Neumologia y Cir Torax 23:393-400, 1962;.
Torroella JM, Garcia T, Villareal R:  Consideraciones sobre el absceso hepatico amibiano en los ninos . Bol Med Hosp Infant 13:1023-1035, 1956;.
Madjar LB:  Amebiasis intestinal en los ninos: Estudio postmortem de 60 casos . Bol Med Hosp Infant 23:783-789, 1966;.
Biagi F:  Algunas observaciones clinicas sobre 46 casos de ambiasis en ninos . Bol Med Hosp Infant 15:633-636, 1958;.
Krupp IM, Powell SJ:  Antibody response to invasive amebiasis in Durban, South Africa . Am J Trop Med Hyg 20:414-420, 1971;.
Krupp IM, Powell SJ:  Comparative study of antibody response in amebiasis: Persistence after successful treatment . Am J Trop Med Hyg 20:421-424, 1971;.
Yen H-P:  Amebic empyema in a child . Chinese J Pediatr 8:374-378, 1957;.
Hsiung C-C:  Amebiasis of the newborn: Report of three cases . Chinese J Pathol 4:14-23, 1958;.
Nnochiri E:  Observations on childhood amebiasis in urban family units . J Trop Med Hyg 68:231-236, 1965;.

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