Amebic liver abscesses among neonates can mimic bacterial sepsis
Amebic liver abscesses are unusual among neonates. Three (3.6%) of 83 children who presented to a university hospital with amebic liver abscesses in a 17-year period were neonates (<28 days of age). Patients presented with nonspecific clinical and laboratory findings mimicking fulminant neonatal sepsis. Diagnosis was delayed and was based on the presence of a hypoechoic lesion in the liver, antibodies against Entamoeba histolytica and microbiologic examination of pus. In addition to parenteral metronidazole treatment and early ultrasound-guided aspiration of the abscess, intensive care is vital for the treatment of neonates with amebic liver abscesses.
The Pediatric Infectious Disease Journal
(2005). Amebic liver abscesses among neonates can mimic bacterial sepsis. The Pediatric Infectious Disease Journal, 24(5), 464-466.
Available at: http://ecommons.aku.edu/pakistan_fhs_mc_surg_paediatr/10