A Rare Association of Amoebic Liver Abscess and Hepatitis E: Case Report
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 contaminat...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2018-02-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/11214/31382_CE(Ra1)_F(AK)_PF1(AJ_P)_PFA(MJ_SL)_PN(SL).pdf |
| _version_ | 1811259620758388736 |
|---|---|
| author | Avinash Pathuri Janak Tarun Bahirwani Shipra Rai Biji Bob Thomas |
| author_facet | Avinash Pathuri Janak Tarun Bahirwani Shipra Rai Biji Bob Thomas |
| author_sort | Avinash Pathuri |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-12T18:35:23Z |
| format | Article |
| id | doaj.art-ec4618667ebc4cc1af071ac489a9caa9 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-12T18:35:23Z |
| publishDate | 2018-02-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-ec4618667ebc4cc1af071ac489a9caa92022-12-22T03:20:58ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2018-02-01122OD04OD0510.7860/JCDR/2018/31382.11214A Rare Association of Amoebic Liver Abscess and Hepatitis E: Case ReportAvinash Pathuri0Janak Tarun Bahirwani1Shipra Rai2Biji Bob Thomas3Senior Resident, Department of General Medicine, Kasturba Medical College, Manipal, Karnataka, India.Intern, Department of General Medicine, Kasturba Medical College, Manipal, Karnataka, India.Assistant Professor, Department of General Medicine, Kasturba Medical College, Manipal, Karnataka, India.Assistant Professor, Department of General Medicine, Kasturba Medical College, Manipal, Karnataka, India.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.https://jcdr.net/articles/PDF/11214/31382_CE(Ra1)_F(AK)_PF1(AJ_P)_PFA(MJ_SL)_PN(SL).pdfco-infectiondysenteryenzyme-linked immunosorbent assayhyperbilirubinaemia |
| spellingShingle | Avinash Pathuri Janak Tarun Bahirwani Shipra Rai Biji Bob Thomas A Rare Association of Amoebic Liver Abscess and Hepatitis E: Case Report Journal of Clinical and Diagnostic Research co-infection dysentery enzyme-linked immunosorbent assay hyperbilirubinaemia |
| title | A Rare Association of Amoebic Liver Abscess and Hepatitis E: Case Report |
| title_full | A Rare Association of Amoebic Liver Abscess and Hepatitis E: Case Report |
| title_fullStr | A Rare Association of Amoebic Liver Abscess and Hepatitis E: Case Report |
| title_full_unstemmed | A Rare Association of Amoebic Liver Abscess and Hepatitis E: Case Report |
| title_short | A Rare Association of Amoebic Liver Abscess and Hepatitis E: Case Report |
| title_sort | rare association of amoebic liver abscess and hepatitis e case report |
| topic | co-infection dysentery enzyme-linked immunosorbent assay hyperbilirubinaemia |
| url | https://jcdr.net/articles/PDF/11214/31382_CE(Ra1)_F(AK)_PF1(AJ_P)_PFA(MJ_SL)_PN(SL).pdf |
| work_keys_str_mv | AT avinashpathuri arareassociationofamoebicliverabscessandhepatitisecasereport AT janaktarunbahirwani arareassociationofamoebicliverabscessandhepatitisecasereport AT shiprarai arareassociationofamoebicliverabscessandhepatitisecasereport AT bijibobthomas arareassociationofamoebicliverabscessandhepatitisecasereport AT avinashpathuri rareassociationofamoebicliverabscessandhepatitisecasereport AT janaktarunbahirwani rareassociationofamoebicliverabscessandhepatitisecasereport AT shiprarai rareassociationofamoebicliverabscessandhepatitisecasereport AT bijibobthomas rareassociationofamoebicliverabscessandhepatitisecasereport |