Tags

Type your tag names separated by a space and hit enter

Imported amoebic liver abscess in France.
PLoS Negl Trop Dis. 2013; 7(8):e2333.PN

Abstract

BACKGROUND

Worldwide, amoebic liver abscess (ALA) can be found in individuals in non-endemic areas, especially in foreign-born travelers.

METHODS

We performed a retrospective analysis of ALA in patients admitted to French hospitals between 2002 and 2006. We compared imported ALA cases in European and foreign-born patients and assessed the factors associated with abscess size using a logistic regression model.

RESULTS

We investigated 90 ALA cases. Patient median age was 41. The male:female ratio was 3.5:1. We were able to determine the origin for 75 patients: 38 were European-born and 37 foreign-born. With respect to clinical characteristics, no significant difference was observed between European and foreign-born patients except a longer lag time between the return to France after traveling abroad and the onset of symptoms for foreign-born. Factors associated with an abscess size of more than 69 mm were being male (OR = 11.25, p<0.01), aged more than 41 years old (OR = 3.63, p = 0.02) and being an immigrant (OR = 11.56, p = 0.03). Percutaneous aspiration was not based on initial abscess size but was carried out significantly more often on patients who were admitted to surgical units (OR = 10, p<0.01). The median time to abscess disappearance for 24 ALA was 7.5 months.

CONCLUSIONS/SIGNIFICANCE

In this study on imported ALA was one of the largest worldwide in terms of the number of cases included males, older patients and foreign-born patients presented with larger abscesses, suggesting that hormonal and immunological factors may be involved in ALA physiopathology. The long lag time before developing ALA after returning to a non-endemic area must be highlighted to clinicians so that they will consider Entamoeba histolytica as a possible pathogen of liver abscesses more often.

Authors+Show Affiliations

Department of Infectious and Tropical Diseases, Avicenne Hospital, Assistance Publique-Hôpitaux de Paris and Paris 13 University, Paris, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23951372

Citation

Cordel, Hugues, et al. "Imported Amoebic Liver Abscess in France." PLoS Neglected Tropical Diseases, vol. 7, no. 8, 2013, pp. e2333.
Cordel H, Prendki V, Madec Y, et al. Imported amoebic liver abscess in France. PLoS Negl Trop Dis. 2013;7(8):e2333.
Cordel, H., Prendki, V., Madec, Y., Houze, S., Paris, L., Bourée, P., Caumes, E., Matheron, S., & Bouchaud, O. (2013). Imported amoebic liver abscess in France. PLoS Neglected Tropical Diseases, 7(8), e2333. https://doi.org/10.1371/journal.pntd.0002333
Cordel H, et al. Imported Amoebic Liver Abscess in France. PLoS Negl Trop Dis. 2013;7(8):e2333. PubMed PMID: 23951372.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Imported amoebic liver abscess in France. AU - Cordel,Hugues, AU - Prendki,Virginie, AU - Madec,Yoann, AU - Houze,Sandrine, AU - Paris,Luc, AU - Bourée,Patrice, AU - Caumes,Eric, AU - Matheron,Sophie, AU - Bouchaud,Olivier, AU - ,, Y1 - 2013/08/08/ PY - 2013/01/27/received PY - 2013/06/12/accepted PY - 2013/8/17/entrez PY - 2013/8/21/pubmed PY - 2014/3/1/medline SP - e2333 EP - e2333 JF - PLoS neglected tropical diseases JO - PLoS Negl Trop Dis VL - 7 IS - 8 N2 - BACKGROUND: Worldwide, amoebic liver abscess (ALA) can be found in individuals in non-endemic areas, especially in foreign-born travelers. METHODS: We performed a retrospective analysis of ALA in patients admitted to French hospitals between 2002 and 2006. We compared imported ALA cases in European and foreign-born patients and assessed the factors associated with abscess size using a logistic regression model. RESULTS: We investigated 90 ALA cases. Patient median age was 41. The male:female ratio was 3.5:1. We were able to determine the origin for 75 patients: 38 were European-born and 37 foreign-born. With respect to clinical characteristics, no significant difference was observed between European and foreign-born patients except a longer lag time between the return to France after traveling abroad and the onset of symptoms for foreign-born. Factors associated with an abscess size of more than 69 mm were being male (OR = 11.25, p<0.01), aged more than 41 years old (OR = 3.63, p = 0.02) and being an immigrant (OR = 11.56, p = 0.03). Percutaneous aspiration was not based on initial abscess size but was carried out significantly more often on patients who were admitted to surgical units (OR = 10, p<0.01). The median time to abscess disappearance for 24 ALA was 7.5 months. CONCLUSIONS/SIGNIFICANCE: In this study on imported ALA was one of the largest worldwide in terms of the number of cases included males, older patients and foreign-born patients presented with larger abscesses, suggesting that hormonal and immunological factors may be involved in ALA physiopathology. The long lag time before developing ALA after returning to a non-endemic area must be highlighted to clinicians so that they will consider Entamoeba histolytica as a possible pathogen of liver abscesses more often. SN - 1935-2735 UR - https://www.unboundmedicine.com/medline/citation/23951372/full_citation L2 - http://dx.plos.org/10.1371/journal.pntd.0002333 DB - PRIME DP - Unbound Medicine ER -