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Pericardial Effusion Secondary to Amoebic Liver Abscess: A Rare Complication

Amoebiasis is a common infection widely prevalent in tropical countries with low income and poor sanitation. The clinical picture is usually nonspecific; however, invasion of the liver by Entamoeba histolytica could lead to an amoebic liver abscess (ALA). It is relatively uncommon in women and child...

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Autores principales: Raza, Mohammad, Kumar, Sohail, Nanjiani, Deedar, Hussain, Azhar, Azizullah, Saad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7779140/
https://www.ncbi.nlm.nih.gov/pubmed/33409008
http://dx.doi.org/10.7759/cureus.11759
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author Raza, Mohammad
Kumar, Sohail
Nanjiani, Deedar
Hussain, Azhar
Azizullah, Saad
author_facet Raza, Mohammad
Kumar, Sohail
Nanjiani, Deedar
Hussain, Azhar
Azizullah, Saad
author_sort Raza, Mohammad
collection PubMed
description Amoebiasis is a common infection widely prevalent in tropical countries with low income and poor sanitation. The clinical picture is usually nonspecific; however, invasion of the liver by Entamoeba histolytica could lead to an amoebic liver abscess (ALA). It is relatively uncommon in women and children. Though rare, extension of ALA into the lungs, pleural cavity, and pericardium may prove fatal. Pericardial amoebiasis is a rare complication which, if not treated early, could result in cardiac tamponade and subsequent death. The standard management option is eradication with metronidazole along with the drainage of fluid from the liver abscess and pericardial effusion. Herein, we present a case of a seven-year-old male child with ALA, who developed signs and symptoms suggesting pericardial effusion within a few days of hospital admission. Early diagnosis of pericardial complication and successful management of abscess resolved the pericardial effusion. 
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spelling pubmed-77791402021-01-05 Pericardial Effusion Secondary to Amoebic Liver Abscess: A Rare Complication Raza, Mohammad Kumar, Sohail Nanjiani, Deedar Hussain, Azhar Azizullah, Saad Cureus Cardiology Amoebiasis is a common infection widely prevalent in tropical countries with low income and poor sanitation. The clinical picture is usually nonspecific; however, invasion of the liver by Entamoeba histolytica could lead to an amoebic liver abscess (ALA). It is relatively uncommon in women and children. Though rare, extension of ALA into the lungs, pleural cavity, and pericardium may prove fatal. Pericardial amoebiasis is a rare complication which, if not treated early, could result in cardiac tamponade and subsequent death. The standard management option is eradication with metronidazole along with the drainage of fluid from the liver abscess and pericardial effusion. Herein, we present a case of a seven-year-old male child with ALA, who developed signs and symptoms suggesting pericardial effusion within a few days of hospital admission. Early diagnosis of pericardial complication and successful management of abscess resolved the pericardial effusion.  Cureus 2020-11-28 /pmc/articles/PMC7779140/ /pubmed/33409008 http://dx.doi.org/10.7759/cureus.11759 Text en Copyright © 2020, Raza et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Raza, Mohammad
Kumar, Sohail
Nanjiani, Deedar
Hussain, Azhar
Azizullah, Saad
Pericardial Effusion Secondary to Amoebic Liver Abscess: A Rare Complication
title Pericardial Effusion Secondary to Amoebic Liver Abscess: A Rare Complication
title_full Pericardial Effusion Secondary to Amoebic Liver Abscess: A Rare Complication
title_fullStr Pericardial Effusion Secondary to Amoebic Liver Abscess: A Rare Complication
title_full_unstemmed Pericardial Effusion Secondary to Amoebic Liver Abscess: A Rare Complication
title_short Pericardial Effusion Secondary to Amoebic Liver Abscess: A Rare Complication
title_sort pericardial effusion secondary to amoebic liver abscess: a rare complication
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7779140/
https://www.ncbi.nlm.nih.gov/pubmed/33409008
http://dx.doi.org/10.7759/cureus.11759
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