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dc.contributor.authorSánchez Zamora, Purificación
dc.contributor.authorGallotti, Ana C.
dc.contributor.authorRamos, Raquel
dc.contributor.authorLigero López, Jorge
dc.contributor.authorGonzález, Yasmina
dc.contributor.authorMejía, Rossel A.
dc.contributor.authorOrozco Vinasco, Adriana C.
dc.contributor.authorFuentes Corripio, Isabel 
dc.contributor.authorMerino, Francisco J.
dc.date.accessioned2022-05-09T08:03:57Z
dc.date.available2022-05-09T08:03:57Z
dc.date.issued2021-12
dc.identifier.citationAm J Case Rep. 2021 Dec 11;22:e934188.es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/14318
dc.description.abstractObjective: Unusual clinical course Background: Amebiasis is a parasitic infection caused by the protozoan Entamoeba histolytica. Amebic brain abscesses are a rare form of invasive amebiasis frequently lethal due to the difficulty of its diagnosis and inadequate treat- ment. Cerebral amebiasis poses a therapeutic challenge as evidenced by the scarcity of papers reporting com- plete recovering after treatment. Case Report: We report the case of a 39-year-old Spanish man, with a history of alcohol and drug abuse. He had never trav- eled outside of Europe, no reported oral-anal sexual contact, and no history of immunosuppressant medica- tion. He was admitted to the Emergency department with temperature of 38°C, abdominal pain, and diarrhea. An abdominal CT scan showed multiples abscesses in the liver. Therefore, empirical meropenem treatment was started on suspicion of pyogenic liver abscesses due to lack of epidemiological risk factors for parasitic infec- tion. In the liver aspirate samples, E. histolytica trophozoites were directly visualized and a real-time PCR was also positive for it. After amebiasis diagnosis, intravenous (IV) metronidazole therapy was initiated. During his admission, the patient developed pulmonary, cutaneous and cerebral involvement amebiasis. The management of amebic brain abscesses includes surgical drainage and antiparasitic treatment, in our case IV metronidazole was maintained for 10 weeks. No surgical treatment was performed and even so, the patient evolved favorably. Conclusions: Amebic brain abscesses have a high mortality rate if inadequate treatment. A timely diagnosis and suitable treat can reduce its mortality, so the diagnosis of amebic infection should not be precluded in non-endemic countries.es_ES
dc.language.isoenges_ES
dc.publisherInternational Scientific Literaturees_ES
dc.type.hasVersionVoRes_ES
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectAmebiasises_ES
dc.subjectBrain abscesses_ES
dc.subjectEntamoeba histolyticaes_ES
dc.subjectMetronidazolees_ES
dc.titleAn Unexpected Case of Disseminated Amebiasis with Cerebral Involvement and Successful Recovery in a Non-Endemic Contextes_ES
dc.typejournal articlees_ES
dc.rights.licenseAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.identifier.pubmedID34893577es_ES
dc.format.volume22es_ES
dc.format.pagee934188es_ES
dc.identifier.doi10.12659/AJCR.934188es_ES
dc.description.peerreviewedes_ES
dc.identifier.e-issn1941-5923es_ES
dc.relation.publisherversionhttps://doi.org/10.12659/AJCR.934188es_ES
dc.identifier.journalAmerican Journal of Case Reportses_ES
dc.repisalud.centroISCIII::Centro Nacional de Microbiologíaes_ES
dc.repisalud.institucionISCIIIes_ES
dc.rights.accessRightsopen accesses_ES


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Attribution-NonCommercial-NoDerivatives 4.0 Internacional
Este Item está sujeto a una licencia Creative Commons: Attribution-NonCommercial-NoDerivatives 4.0 Internacional