ABSCESO HEPATICO PDF

El absceso hepático amebiano puede ser una enfermedad emergente en España a causa de la inmigración y los viajes a países endémicos. Su tratamiento. Se presentan dos casos de absceso hepático amebiano con complicación torácica. Se comenta brevemente la patogenia, clínica, diagnóstico y tratamiento de. Ciencias Médicas. Enero-febrero, ; 19(1): Absceso hepático amebiano, presentación atípica. An atypical presentation of amoebic hepatic abscess.

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Liver abscess due to Klebsiella pneumoniae and its relation to colon lesions. Pyogenic liver abscesses are often caused by biliary or digestive tract infections.

In some cases a firm etiological diagnosis cannot be established -such lesions being classified as cryptogenic abscesses or abscesses of obscure origin.

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Different studies suggest that in such cases the abscess is produced as a result of disruption of the colon mucosa with secondary bacteremia via the portal route, as occurs for hepwtico in large tubulovillous adenomas or colorectal cancer 1,2.

The present study describes a patient with relapsing cryptogenic liver abscess due to Klebsiella pneumoniae, in which a colon tubulovillous adenoma with high grade dysplasia was detected.

A year-old male presented with type 2 diabetes as sole risk factor for the development of hepatuco abscess 1. He was admitted to our hospital in Maywith the isolation of Klebsiella pneumoniae.

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Inmunología del absceso hepático amebiano

Intravenous antibiotic treatment piperacillin-tazobactam was administered for two weeks, with percutaneous drainage under ultrasound guidance. Ten months later the patient presented a new liver abscess caused by the same microorganism in the same location, and which was likewise subjected to conservative management.

Since liver abscesses can originate from colon neoplasms 1,2we requested colonoscopy, which revealed the presence of a tubulovillous adenoma with high grade dysplasia. Culture of the adenoma biopsy material isolated Klebsiella pneumoniae of a biotype similar to that isolated from the abscess culture. The patient remains asymptomatic 7 hepatcio after the end of abscess treatment and 5 months after endoscopic removal of the polyp.

Recently, a review of the Taiwanese public health department including 2, individuals with liver abscesses between reported a greater incidence of colorectal cancer during the follow-up of these patients – Klebsiella pneumoniae being the organism most often isolated in such cases. Taking these data into account, it seems reasonable to perform colonoscopy as a screening method for colon lesions in patients over 60 years of age with liver abscesses 3.

This study corroborates the results of other publications that describe a relationship between both conditions 1,2,4,5. It should be mentioned that in Asian countries Taiwan, South KoreaKlebsiella pneumoniae has displaced other classical absfeso Staphylococcus, Streptococcus, E. In our case, colonoscopy detected a villous adenoma with high grade dysplasia, and culture moreover yielded the same bacterium as that isolated from the liver abscess.

We thus assume that the bacterium reached the liver via the portal route through mucosal disruption favored by the high grade dysplasia of the colon polyp.

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hepatido Cryptogenic pyogenic liver abscess as the herald of colon cancer. J Gastroenterol Hepatol ; Pyogenic liver abscess associated with large colonic tubulovillous adenoma.

World J Gastroenterol ; Higher rate of colorectal cancer among patients with pyogenic liver abscess with Klebsiella pneumoniae than those without: An year follow-up study.

Should colonoscopy be performed in patients with cryptogenic liver abscess? Clin Res Hepatol Gastroenterol ; Pyogenic liver abscesses associated with nonmetastatic colorectal cancers: An increasing problem in Eastern Asia. Comparison of pyogenic liver abscesses caused by Klebsiella pneumoniae and non-K.

J Formos Med Assoc ; Emerging invasive liver abscess caused by K1 serotype Klebsiella pneumoniae in Korea. Dear Editor, Pyogenic liver abscesses are often caused by biliary or digestive tract infections. Case report A year-old male presented with type 2 diabetes as sole risk factor for the development of liver abscess 1.

Discussion Recently, a review of the Taiwanese public health department including 2, individuals with liver abscesses between reported a greater incidence of colorectal cancer during the follow-up of these patients – Klebsiella pneumoniae being the organism most often isolated in such cases.