1. Absceso hepático por Ascaris lumbricoides: Presentación de un caso.
- Author
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Romero Zamora, José Luis, Romero Ibarra, Josué Esaú, Soriano Rosas, Juan, and Gutiérrez Quiroz, Manuel
- Abstract
The highest frequency of liver abscesses in our environment is, by far, of ethyl ambience, followed by those caused by bacterial agents; on the other hand, the clinical cure, lacking its symptomatology and sinology, makes it difficult to reach the etiological diagnosis. Intestinal parasites are the most common infectious agents in humans. It is estimated that a third of the world's population has a parasitic infection; about 450 million human beings will develop the disease, and a greater burden of disease occurs in children in low-income countries. Ascariasis is caused by the nematode Ascaris lumbricoides, the most frequent helminth infection among humans. It is one of the considered geohelminths that already requires a part of its biological cycle of passing through the earth. So, it is important to have a history of geophagy. It is spread by the faecal-oral route; therefore, its presence is greater in developing tropical and subtropical countries due to high humidity, inadequate hygiene and sanitation conditions. We report the case of a 4-year-old preschool female 4 months old with a hepatic abscess due to Ascaris lumbricoides. The etiological diagnosis was made in the aspirant fluid by a trans-diaphragmatic liver puncture. Eggs of the agent were identified in the liquid obtained, and in the faecal matter, serological studies resulted in positive titres using immunodiffusion and indirect haemagglutination. Medical management based on Albendazole was indicated with good tolerance and response to treatment, and discharged in good condition, then subsequently seen in the outpatient consultation at 6 and 12 months if there is an apparent alteration. Cases of liver abscess caused by this helminth are rare, which motivates us to communicate the present. [ABSTRACT FROM AUTHOR]
- Published
- 2024