TY - JOUR
T1 - A rare association of amoebic liver abscess and hepatitis E
T2 - Case report
AU - Pathuri, Avinash
AU - Bahirwani, Janak Tarun
AU - Rai, Shipra
AU - Thomas, Biji Bob
PY - 2018/2/1
Y1 - 2018/2/1
N2 - Amoebiasis is a global disease, which is caused by the protozoan Entamoeba histolytica. This infection affects nearly 10% of the population of the developing world. Hepatitis E predominantly affects young adults in the age group of 15-40 years. Both these infections are usually related to contamination of water. We are reporting a rare case of co-infection of amoebic liver abscess with Hepatitis E, in a patient who presented with complaints of high grade fever, yellowish discolouration of eyes and pain in the right upper abdomen. In this patient laboratory investigations showed significantly elevated liver enzymes and conjugated hyperbilirubinaemia. Ultrasound scan of the abdomen revealed a liver abscess. Amoebic serology was positive. He was treated with 'Ceftriaxone' and 'Metronidazole'. Due to persistent elevation of liver enzymes, a viral hepatitis panel was sent which showed Hepatitis E IgM (ELISA) positive. With treatment, his symptoms resolved and the elevated liver enzymes normalised.
AB - Amoebiasis is a global disease, which is caused by the protozoan Entamoeba histolytica. This infection affects nearly 10% of the population of the developing world. Hepatitis E predominantly affects young adults in the age group of 15-40 years. Both these infections are usually related to contamination of water. We are reporting a rare case of co-infection of amoebic liver abscess with Hepatitis E, in a patient who presented with complaints of high grade fever, yellowish discolouration of eyes and pain in the right upper abdomen. In this patient laboratory investigations showed significantly elevated liver enzymes and conjugated hyperbilirubinaemia. Ultrasound scan of the abdomen revealed a liver abscess. Amoebic serology was positive. He was treated with 'Ceftriaxone' and 'Metronidazole'. Due to persistent elevation of liver enzymes, a viral hepatitis panel was sent which showed Hepatitis E IgM (ELISA) positive. With treatment, his symptoms resolved and the elevated liver enzymes normalised.
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U2 - 10.7860/JCDR/2018/31382.11214
DO - 10.7860/JCDR/2018/31382.11214
M3 - Article
AN - SCOPUS:85043346341
SN - 2249-782X
VL - 12
SP - OD04-OD05
JO - Journal of Clinical and Diagnostic Research
JF - Journal of Clinical and Diagnostic Research
IS - 2
ER -
