Development of amoebic liver abscess in early pregnancy years after initial amoebic exposure: a case report

摘要: Infection with Entamoeba histolytica and associated complications are relatively rare in developed countries. The overall low prevalence the Western world as well possibly prolonged latency period between infection causing pathogen onset of clinical symptoms may delay diagnosis adequate treatment for amoebiasis. Amoebic liver abscess (ALA) is most common extraintestinal manifestation invasive Pregnancy has been described a risk factor development amoebiasis management these patients especially complex. A 30-year-old Caucasian woman early pregnancy presented to our emergency department abdominal pain alongside elevated inflammatory markers function tests. Travel history revealed multiple journeys tropic subtropic regions during past decade episode intermittently bloody diarrhea five month stay Indonesia seven years prior admission. Sonographic magnetic resonance imaging 5 × 4 cm hepatic abscess. After ultrasound-guided transcutaneous drainage, both fluids blood cultures showed neither bacterial growth nor microscopic signs parasitic disease. Serological testing confirmed an histolytica, which was treated metronidazole, followed by eradication therapy paromomycin. Subsequent clinical, laboratory follow-up exams regression ALA. In addition, completed without healthy baby boy born 7 months after termination treatment. This case outside endemic several exposure demonstrates importance broad differential diagnostics context abscesses. complex interdisciplinary decisions regarding choice techniques interventional antibiotic discussed. Furthermore, we present possible explanations course