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Pediatr. Infect. Dis. J. · May 2005
Comparative StudyAmebic liver abscesses among neonates can mimic bacterial sepsis.
- Zafar Nazir and Saqib Hamid Qazi.
- Section of Pediatric Surgery, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan. zafar.nazir@aku.edu
- Pediatr. Infect. Dis. J. 2005 May 1; 24 (5): 464-6.
AbstractAmebic liver abscesses are unusual among neonates. Three (3.6%) of 83 children who presented to a university hospital with amebic liver abscesses in a 17-year period were neonates (<28 days of age). Patients presented with nonspecific clinical and laboratory findings mimicking fulminant neonatal sepsis. Diagnosis was delayed and was based on the presence of a hypoechoic lesion in the liver, antibodies against Entamoeba histolytica and microbiologic examination of pus. In addition to parenteral metronidazole treatment and early ultrasound-guided aspiration of the abscess, intensive care is vital for the treatment of neonates with amebic liver abscesses.
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