A 12-Year Retrospective Study of Invasive Amoebiasis in Western Sydney: Evidence of Local Acquisition
In Australia, amoebiasis is thought to occur in travellers, immigrants from endemic areas, and among men who have sex with men. Prevalence of amoebiasis in communities with immigrants from Entamoeba histolytica-endemic countries is unknown. The present study is a retrospective case series analysis o...
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| Format: | Article |
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MDPI AG
2018-06-01
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| Series: | Tropical Medicine and Infectious Disease |
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| Online Access: | http://www.mdpi.com/2414-6366/3/3/73 |
| _version_ | 1798026795860099072 |
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| author | Ana Domazetovska Rogan Lee Chandra Adhikari Matthew Watts Nicole Gilroy Damien Stark Shobini Sivagnanam |
| author_facet | Ana Domazetovska Rogan Lee Chandra Adhikari Matthew Watts Nicole Gilroy Damien Stark Shobini Sivagnanam |
| author_sort | Ana Domazetovska |
| collection | DOAJ |
| description | In Australia, amoebiasis is thought to occur in travellers, immigrants from endemic areas, and among men who have sex with men. Prevalence of amoebiasis in communities with immigrants from Entamoeba histolytica-endemic countries is unknown. The present study is a retrospective case series analysis of patients with laboratory-confirmed amoebiasis from Western Sydney Local Health District, Australia, between years 2005 and 2016. Forty-nine patients with amoebiasis were identified, resulting in an estimated annual incidence of up to 1.1 cases per 100,000 adults. Many were born in Australia (15/47) and India (12/47). Three patients (3/37) had no history of overseas travel, two others had not travelled to an endemic country, and an additional two had a very remote history of overseas travel; one died of fulminant amoebic colitis. Three patients (3/16) were employed in the food industry and one had a history of colonic irrigation in an Australian ‘wellness clinic’. Patients had invasive amoebiasis with either liver abscess (41/48) or colitis (7/48), diagnosed most commonly by serology. Invasive procedures were common, including aspiration of liver abscess (28/41), colonoscopy (11/49), and partial hepatectomy (1/49). Although rare, local acquisition of amoebiasis occurs in Western Sydney and contributes to significant morbidity and hospital admissions. |
| first_indexed | 2024-04-11T18:41:07Z |
| format | Article |
| id | doaj.art-c10adfc42224409f94fb28116a9d4e12 |
| institution | Directory Open Access Journal |
| issn | 2414-6366 |
| language | English |
| last_indexed | 2024-04-11T18:41:07Z |
| publishDate | 2018-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Tropical Medicine and Infectious Disease |
| spelling | doaj.art-c10adfc42224409f94fb28116a9d4e122022-12-22T04:08:58ZengMDPI AGTropical Medicine and Infectious Disease2414-63662018-06-01337310.3390/tropicalmed3030073tropicalmed3030073A 12-Year Retrospective Study of Invasive Amoebiasis in Western Sydney: Evidence of Local AcquisitionAna Domazetovska0Rogan Lee1Chandra Adhikari2Matthew Watts3Nicole Gilroy4Damien Stark5Shobini Sivagnanam6Department of Infectious Diseases, Blacktown Hospital, Blacktown NSW 2148, AustraliaNew South Wales Health Pathology, Institute of Clinical Pathology and Medical Research, Westmead Hospital, Westmead NSW 2145, AustraliaDepartment of Anatomical Pathology, Institute of Clinical Pathology and Medical Research, Westmead Hospital, Westmead NSW 2145, AustraliaDepartment of Infectious Diseases, Westmead Hospital, Westmead NSW 2145, AustraliaDepartment of Infectious Diseases, Westmead Hospital, Westmead NSW 2145, AustraliaDepartment of Microbiology, St. Vincent’s Hospital, Darlinghurst NSW 2010, AustraliaDepartment of Infectious Diseases, Blacktown Hospital, Blacktown NSW 2148, AustraliaIn Australia, amoebiasis is thought to occur in travellers, immigrants from endemic areas, and among men who have sex with men. Prevalence of amoebiasis in communities with immigrants from Entamoeba histolytica-endemic countries is unknown. The present study is a retrospective case series analysis of patients with laboratory-confirmed amoebiasis from Western Sydney Local Health District, Australia, between years 2005 and 2016. Forty-nine patients with amoebiasis were identified, resulting in an estimated annual incidence of up to 1.1 cases per 100,000 adults. Many were born in Australia (15/47) and India (12/47). Three patients (3/37) had no history of overseas travel, two others had not travelled to an endemic country, and an additional two had a very remote history of overseas travel; one died of fulminant amoebic colitis. Three patients (3/16) were employed in the food industry and one had a history of colonic irrigation in an Australian ‘wellness clinic’. Patients had invasive amoebiasis with either liver abscess (41/48) or colitis (7/48), diagnosed most commonly by serology. Invasive procedures were common, including aspiration of liver abscess (28/41), colonoscopy (11/49), and partial hepatectomy (1/49). Although rare, local acquisition of amoebiasis occurs in Western Sydney and contributes to significant morbidity and hospital admissions.http://www.mdpi.com/2414-6366/3/3/73amoebiasisEntamoeba histolyticaendemiclocal acquisitioncolitisliver abscess |
| spellingShingle | Ana Domazetovska Rogan Lee Chandra Adhikari Matthew Watts Nicole Gilroy Damien Stark Shobini Sivagnanam A 12-Year Retrospective Study of Invasive Amoebiasis in Western Sydney: Evidence of Local Acquisition Tropical Medicine and Infectious Disease amoebiasis Entamoeba histolytica endemic local acquisition colitis liver abscess |
| title | A 12-Year Retrospective Study of Invasive Amoebiasis in Western Sydney: Evidence of Local Acquisition |
| title_full | A 12-Year Retrospective Study of Invasive Amoebiasis in Western Sydney: Evidence of Local Acquisition |
| title_fullStr | A 12-Year Retrospective Study of Invasive Amoebiasis in Western Sydney: Evidence of Local Acquisition |
| title_full_unstemmed | A 12-Year Retrospective Study of Invasive Amoebiasis in Western Sydney: Evidence of Local Acquisition |
| title_short | A 12-Year Retrospective Study of Invasive Amoebiasis in Western Sydney: Evidence of Local Acquisition |
| title_sort | 12 year retrospective study of invasive amoebiasis in western sydney evidence of local acquisition |
| topic | amoebiasis Entamoeba histolytica endemic local acquisition colitis liver abscess |
| url | http://www.mdpi.com/2414-6366/3/3/73 |
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