Schistosomiasis mansoni is asssociated with pyogenic liver abscesses in the state of Minas Gerais, Brazil

The association between pyogenic liver abscesses and schistosomiasis has been confirmed by clinical and experimental studies. In this retrospective study of 78 patients with pyogenic liver abscesses the association with schistosomiasis has been investigated. Pyodermitis, a known focus of bacteremia,...

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Main Authors: Rosângela Teixeira, Francis Jardim Pfeilsticker, Giovanna DC Santa Cecília, Vandack Nobre, Lúcia Porto Fonseca, José Carlos Serufo, Paulo Marcos Zech Coelho, José Roberto Lambertucci
Format: Article
Language:English
Published: Fundação Oswaldo Cruz (FIOCRUZ) 2001-09-01
Series:Memorias do Instituto Oswaldo Cruz
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762001000900021
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author Rosângela Teixeira
Francis Jardim Pfeilsticker
Giovanna DC Santa Cecília
Vandack Nobre
Lúcia Porto Fonseca
José Carlos Serufo
Paulo Marcos Zech Coelho
José Roberto Lambertucci
author_facet Rosângela Teixeira
Francis Jardim Pfeilsticker
Giovanna DC Santa Cecília
Vandack Nobre
Lúcia Porto Fonseca
José Carlos Serufo
Paulo Marcos Zech Coelho
José Roberto Lambertucci
author_sort Rosângela Teixeira
collection DOAJ
description The association between pyogenic liver abscesses and schistosomiasis has been confirmed by clinical and experimental studies. In this retrospective study of 78 patients with pyogenic liver abscesses the association with schistosomiasis has been investigated. Pyodermitis, a known focus of bacteremia, was observed in 19 patients (24%). Blood eosinophilia was observed in 30 patients (39%). Staphylococcus aureus was cultured from abscesses in 17 out of 38 patients (45%). Forty-one out of 57 patients (53%) had stool examination. Schistosoma mansoni was the main parasite identified. Eggs of S. mansoni were also identified in liver biopsies in 7 out of 19 patients who did the exam. The large number of young patients with liver abscesses described here is different from what has been observed in developed countries. This clinical study provide support for the concept that granulomas of S. mansoni in the liver are foci for colonization with S. aureus, which in presence of staphylococcal bacteremia can form liver abscesses.
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spelling doaj.art-5c5786074bae4a4584205563f262f7812023-09-02T16:25:06ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz0074-02761678-80602001-09-019614314610.1590/S0074-02762001000900021Schistosomiasis mansoni is asssociated with pyogenic liver abscesses in the state of Minas Gerais, BrazilRosângela TeixeiraFrancis Jardim PfeilstickerGiovanna DC Santa CecíliaVandack NobreLúcia Porto FonsecaJosé Carlos SerufoPaulo Marcos Zech CoelhoJosé Roberto LambertucciThe association between pyogenic liver abscesses and schistosomiasis has been confirmed by clinical and experimental studies. In this retrospective study of 78 patients with pyogenic liver abscesses the association with schistosomiasis has been investigated. Pyodermitis, a known focus of bacteremia, was observed in 19 patients (24%). Blood eosinophilia was observed in 30 patients (39%). Staphylococcus aureus was cultured from abscesses in 17 out of 38 patients (45%). Forty-one out of 57 patients (53%) had stool examination. Schistosoma mansoni was the main parasite identified. Eggs of S. mansoni were also identified in liver biopsies in 7 out of 19 patients who did the exam. The large number of young patients with liver abscesses described here is different from what has been observed in developed countries. This clinical study provide support for the concept that granulomas of S. mansoni in the liver are foci for colonization with S. aureus, which in presence of staphylococcal bacteremia can form liver abscesses.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762001000900021liver abscessschistosomiasisstaphylococcal bacteremiaMinas GeraisBrazil
spellingShingle Rosângela Teixeira
Francis Jardim Pfeilsticker
Giovanna DC Santa Cecília
Vandack Nobre
Lúcia Porto Fonseca
José Carlos Serufo
Paulo Marcos Zech Coelho
José Roberto Lambertucci
Schistosomiasis mansoni is asssociated with pyogenic liver abscesses in the state of Minas Gerais, Brazil
Memorias do Instituto Oswaldo Cruz
liver abscess
schistosomiasis
staphylococcal bacteremia
Minas Gerais
Brazil
title Schistosomiasis mansoni is asssociated with pyogenic liver abscesses in the state of Minas Gerais, Brazil
title_full Schistosomiasis mansoni is asssociated with pyogenic liver abscesses in the state of Minas Gerais, Brazil
title_fullStr Schistosomiasis mansoni is asssociated with pyogenic liver abscesses in the state of Minas Gerais, Brazil
title_full_unstemmed Schistosomiasis mansoni is asssociated with pyogenic liver abscesses in the state of Minas Gerais, Brazil
title_short Schistosomiasis mansoni is asssociated with pyogenic liver abscesses in the state of Minas Gerais, Brazil
title_sort schistosomiasis mansoni is asssociated with pyogenic liver abscesses in the state of minas gerais brazil
topic liver abscess
schistosomiasis
staphylococcal bacteremia
Minas Gerais
Brazil
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762001000900021
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