Journal of Yeungnam Medical Science

영남대 의대 학술지 편집위원회 (Yeungnam University College of Medicine, Yeungnam University Institute Medical Science)
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아메바 간농양으로 진단에 이른 인간 면역 결핍증

Amebic liver abscesses resulting in diagnosis of human immunodeficiency virus infection

  • 김석원 (국립중앙의료원 소화기내과) ;
  • 권혁춘 (국립중앙의료원 소화기내과) ;
  • 남승우 (국립중앙의료원 소화기내과) ;
  • 최종경 (국립중앙의료원 소화기내과) ;
  • 정주원 (국립중앙의료원 소화기내과) ;
  • 장동원 (국립중앙의료원 소화기내과) ;
  • 박수연 (국립중앙의료원 소화기내과)
  • Kim, Seok Weon (Department of Gastroenterology and Hepatology, National Medical Center) ;
  • Kwon, Hyeok Choon (Department of Gastroenterology and Hepatology, National Medical Center) ;
  • Nam, Seung Woo (Department of Gastroenterology and Hepatology, National Medical Center) ;
  • Choi, Jong Kyung (Department of Gastroenterology and Hepatology, National Medical Center) ;
  • Chung, Joo Won (Department of Gastroenterology and Hepatology, National Medical Center) ;
  • Jang, Dong Won (Department of Gastroenterology and Hepatology, National Medical Center) ;
  • Park, Soo Yoen (Department of Gastroenterology and Hepatology, National Medical Center)
  • 투고 : 2015.09.25
  • 심사 : 2015.11.02
  • 발행 : 2017.06.30
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초록

Amebic liver abscess (ALA) is the most common extraintestinal manifestation of amebiasis. Amebiasis, a parasitic infection caused by Entamoeba histolytica, used to be a prevalent protozoan disease in Korea, however, with an improving sanitary system, it has been among very uncommon etiology of liver abscess. A recent report suggested that ALA is an emerging parasitic infection in human immunodeficiency virus (HIV)-infected patients even in areas where the disease is not endemic and recommended HIV screening in patients in areas where ALA is not endemic, particularly those without history of travel to a disease-endemic area. We report on two patients who were admitted for treatment of ALA and then diagnosed as HIV infection. We also reviewed the etiology and characteristics of ALA in our hospital during the last 5 years.

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참고문헌

  1. Hughes MA, Petri WA Jr. Amebic liver abscess. Infect Dis Clin North Am 2000;14:565-82. https://doi.org/10.1016/S0891-5520(05)70121-5
  2. Haque R, Huston CD, Hughes M, Houpt E, Petri WA Jr. Amebiasis. N Engl J Med 2003;348:1565-73. https://doi.org/10.1056/NEJMra022710
  3. Chung DR, Lee SS, Lee HR, Kim HB, Choi HJ, Eom JS, et al. Emerging invasive liver abscess caused by K1 serotype Klebsiella pneumoniae in Korea. J Infect 2007;54:578-83. https://doi.org/10.1016/j.jinf.2006.11.008
  4. Park WB, Choe PG, Jo JH, Kim SH, Bang JH, Kim HB, et al. Amebic liver abscess in HIV-infected patients, Republic of Korea. Emerg Infect Dis 2007;13:516-7. https://doi.org/10.3201/eid1303.060894
  5. Hsu MS, Hsieh SM, Chen MY, Hung CC, Chang SC. Association between amebic liver abscess and human immunodeficiency virus infection in Taiwanese subjects. BMC Infect Dis 2008;8:48. https://doi.org/10.1186/1471-2334-8-48
  6. Oh MD, Lee K, Kim E, Lee S, Kim N, Choi H, et al. Amoebic liver abscess in HIV-infected patients. AIDS 2000;14:1872-3. https://doi.org/10.1097/00002030-200008180-00033
  7. Kaplan GG, Gregson DB, Laupland KB. Population-based study of the epidemiology of and the risk factors for pyogenic liver abscess. Clin Gastroenterol Hepatol 2004;2:1032-8. https://doi.org/10.1016/S1542-3565(04)00459-8
  8. Acuna-Soto R, Maguire JH, Wirth DF. Gender distribution in asymptomatic and invasive amebiasis. Am J Gastroenterol 2000;95:1277-83. https://doi.org/10.1111/j.1572-0241.2000.01525.x
  9. Stanley SL Jr. Amoebiasis. Lancet 2003;361(9362):1025-34. https://doi.org/10.1016/S0140-6736(03)12830-9
  10. Hung CC, Chen PJ, Hsieh SM, Wong JM, Fang CT, Chang SC, et al. Invasive amoebiasis: an emerging parasitic disease in patients infected with HIV in an area endemic for amoebic infection. AIDS 1999;13:2421-8. https://doi.org/10.1097/00002030-199912030-00014
  11. Cho SB. Pyogenic and amebic liver abscess. In: Korean Association for the Study of the Liver Single Topic Symposium 2012; 2012 Sep 1; Gwangju, Korea: Korean Association for the Study of the Liver; 2012. p. 21-8.
  12. Wu KS, Tsai HC, Lee SS, Liu YC, Wann SR, Wang YH, et al. Comparison of clinical characteristics of amebic liver abscess in human immunodeficiency virus (HIV)-infected and non-HIV-infected patients. J Microbiol Immunol Infect 2008; 41:456-61.
  13. Park JH, Lee TH, Kang MG, Lee MY, Lee MJ, Pyo JS, et al. pyogenic liver abscess: changes in clinical features over the last 10 years. Korean J Med 2015;88:663-71. Korean. https://doi.org/10.3904/kjm.2015.88.6.663