Amebic liver abscesses among neonates can mimic bacterial sepsis |
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Authors: | Nazir Zafar Qazi Saqib Hamid |
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Affiliation: | Section of Pediatric Surgery, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan. zafar.nazir@aku.edu |
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Abstract: | Amebic 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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