A rare association of amoebic liver abscess and hepatitis E: Case report

Avinash Pathuri, Janak Tarun Bahirwani, Shipra Rai, Biji Bob Thomas

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)OD04-OD05
JournalJournal of Clinical and Diagnostic Research
Volume12
Issue number2
DOIs
Publication statusPublished - 01-02-2018
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Clinical Biochemistry

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