First case of amebic liver abscess 22 years after the first occurrence.

摘要: A 72-year-old man consulted in November 2012 for abdominal pain the right upper quadrant. The patient had a history of suspected hepatic amebiasis treated Senegal 1985 and has not traveled to endemic areas since 1990. Abdominal CT scan revealed liver abscess. At first, no parasitological tests were performed was with broad-spectrum antibiotics. Only after failure this therapy, serology PCR abscess puncture established diagnosis amebiasis. metronidazole tiliquinol-tilbroquinol. Amebic is most frequent extra-intestinal manifestation. Hepatic 22 years last visit an area exceptional raises questions on mechanisms latency recurrence these intestinal protozoan parasites.