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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1977-2-16
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pubmed:abstractText |
Eighty-eight African patients with amoebic liver abscess are described. The diagnosis was readily made in pyrexial patients who had right-sided upper abdominal pain, an enlarged, very tender liver and signs at the right base. However, in apyrexial subjects (10%) and where abdominal pain was absent (7%), the diagnosis was considerably delayed. Five children (7%) were seen under the age of five, four of whom died because the diagnosis was not suspected. It is particularly emphasized that there should be a greater awareness of this condition in this age group. Amoebae were found in only a small percentage of stool (14%) and pus specimens (11%), while biopsy of the abscess edge yielded 40%. The relative values of a positive amoebic latex test (82%) and an elevated alkaline phosphatase (71%) are noted. In only half the aspirations was the classical anchovy sauce appearance seen. Metronidazole is the drug of choice with repeated aspirations for large abscesses. Mortality was 13-5%, occurring mainly in the extremes of life.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0035-9203
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
70
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
302-5
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1006758-Adolescent,
pubmed-meshheading:1006758-Adult,
pubmed-meshheading:1006758-Aged,
pubmed-meshheading:1006758-Child,
pubmed-meshheading:1006758-Child, Preschool,
pubmed-meshheading:1006758-Female,
pubmed-meshheading:1006758-Humans,
pubmed-meshheading:1006758-Infant,
pubmed-meshheading:1006758-Liver Abscess, Amebic,
pubmed-meshheading:1006758-Male,
pubmed-meshheading:1006758-Metronidazole,
pubmed-meshheading:1006758-Middle Aged,
pubmed-meshheading:1006758-Zimbabwe
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pubmed:year |
1976
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pubmed:articleTitle |
Amoebic liver abscess in Rhodesian Africans.
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pubmed:publicationType |
Journal Article
|