Amoebic liver abscess in a COVID-19 patient: a case report

Abstract Background Amoebiasis is a parasitic disease caused by Entamoeba histolytica, which affects people living in low- and middle-income countries and has intestinal and extraintestinal manifestations. To date, knowledge on coronavirus disease 2019 (COVID-19) coinfection with enteric parasites i...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Andrea L. Maricuto, Viledy L. Velásquez, Jacinto Pineda, David M. Flora-Noda, Isaac Rodríguez, Crismar A. Rodríguez-Inés, Óscar O. Noya-González, Rosa Contreras, Óscar D. Omaña-Ávila, Iván A. Escalante-Pérez, Natasha A. Camejo-Ávila, Nicolle A. Kuffaty-Akkou, Fhabián S. Carrión-Nessi, Martín Carballo, María E. Landaeta, David A. Forero-Peña
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Amoebic liver abscess Entamoeba histolytica COVID-19 SARS-CoV-2 Venezuela Case report Infectious and parasitic diseases RC109-216
Acceso en línea:	https://doaj.org/article/0256ea2afd6d432584003361940ea684
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:0256ea2afd6d432584003361940ea684
record_format	dspace
spelling	oai:doaj.org-article:0256ea2afd6d432584003361940ea6842021-11-08T11:18:19ZAmoebic liver abscess in a COVID-19 patient: a case report10.1186/s12879-021-06819-91471-2334https://doaj.org/article/0256ea2afd6d432584003361940ea6842021-11-01T00:00:00Zhttps://doi.org/10.1186/s12879-021-06819-9https://doaj.org/toc/1471-2334Abstract Background Amoebiasis is a parasitic disease caused by Entamoeba histolytica, which affects people living in low- and middle-income countries and has intestinal and extraintestinal manifestations. To date, knowledge on coronavirus disease 2019 (COVID-19) coinfection with enteric parasites is limited, and E. histolytica coinfection has not been previously described. Here we present the case of a patient with COVID-19 who, during hospitalisation, presented a clinical picture consistent with an amoebic liver abscess (ALA). Case presentation A 54-year-old man, admitted as a suspected case of COVID-19, presented to our hospital with dyspnoea, malaise, fever and hypoxaemia. A nasopharyngeal swab was positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by reverse-transcription polymerase chain reaction. After 7 days, he developed diarrhoea, choluria and dysentery. An abdominal ultrasound showed a lesion compatible with a liver abscess; stool examination revealed E. histolytica trophozoites, and additional serology for E. histolytica was positive. After 12 days of treatment with metronidazole, ceftazidime and nitazoxanide, the patient reported acute abdominal pain, and an ultrasound examination revealed free liquid in the abdominal cavity. An emergency exploratory laparotomy was performed, finding 3000 mL of a thick fluid described as “anchovy paste”. Computed tomography scan revealed a second abscess. He ended up receiving 21 days of antibiotic treatment and was discharged with satisfactory improvement. Conclusion Here we present, to the best of our knowledge, the first report of ALA and COVID-19 co-presenting. Based on their pathophysiological similarities, coinfection with SARS-CoV-2 and E. histolytica could change the patient’s clinical course; however, larger studies are needed to fully understand the interaction between these pathogens.Andrea L. MaricutoViledy L. VelásquezJacinto PinedaDavid M. Flora-NodaIsaac RodríguezCrismar A. Rodríguez-InésÓscar O. Noya-GonzálezRosa ContrerasÓscar D. Omaña-ÁvilaIván A. Escalante-PérezNatasha A. Camejo-ÁvilaNicolle A. Kuffaty-AkkouFhabián S. Carrión-NessiMartín CarballoMaría E. LandaetaDavid A. Forero-PeñaBMCarticleAmoebic liver abscessEntamoeba histolyticaCOVID-19SARS-CoV-2VenezuelaCase reportInfectious and parasitic diseasesRC109-216ENBMC Infectious Diseases, Vol 21, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Amoebic liver abscess Entamoeba histolytica COVID-19 SARS-CoV-2 Venezuela Case report Infectious and parasitic diseases RC109-216
spellingShingle	Amoebic liver abscess Entamoeba histolytica COVID-19 SARS-CoV-2 Venezuela Case report Infectious and parasitic diseases RC109-216 Andrea L. Maricuto Viledy L. Velásquez Jacinto Pineda David M. Flora-Noda Isaac Rodríguez Crismar A. Rodríguez-Inés Óscar O. Noya-González Rosa Contreras Óscar D. Omaña-Ávila Iván A. Escalante-Pérez Natasha A. Camejo-Ávila Nicolle A. Kuffaty-Akkou Fhabián S. Carrión-Nessi Martín Carballo María E. Landaeta David A. Forero-Peña Amoebic liver abscess in a COVID-19 patient: a case report
description	Abstract Background Amoebiasis is a parasitic disease caused by Entamoeba histolytica, which affects people living in low- and middle-income countries and has intestinal and extraintestinal manifestations. To date, knowledge on coronavirus disease 2019 (COVID-19) coinfection with enteric parasites is limited, and E. histolytica coinfection has not been previously described. Here we present the case of a patient with COVID-19 who, during hospitalisation, presented a clinical picture consistent with an amoebic liver abscess (ALA). Case presentation A 54-year-old man, admitted as a suspected case of COVID-19, presented to our hospital with dyspnoea, malaise, fever and hypoxaemia. A nasopharyngeal swab was positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by reverse-transcription polymerase chain reaction. After 7 days, he developed diarrhoea, choluria and dysentery. An abdominal ultrasound showed a lesion compatible with a liver abscess; stool examination revealed E. histolytica trophozoites, and additional serology for E. histolytica was positive. After 12 days of treatment with metronidazole, ceftazidime and nitazoxanide, the patient reported acute abdominal pain, and an ultrasound examination revealed free liquid in the abdominal cavity. An emergency exploratory laparotomy was performed, finding 3000 mL of a thick fluid described as “anchovy paste”. Computed tomography scan revealed a second abscess. He ended up receiving 21 days of antibiotic treatment and was discharged with satisfactory improvement. Conclusion Here we present, to the best of our knowledge, the first report of ALA and COVID-19 co-presenting. Based on their pathophysiological similarities, coinfection with SARS-CoV-2 and E. histolytica could change the patient’s clinical course; however, larger studies are needed to fully understand the interaction between these pathogens.
format	article
author	Andrea L. Maricuto Viledy L. Velásquez Jacinto Pineda David M. Flora-Noda Isaac Rodríguez Crismar A. Rodríguez-Inés Óscar O. Noya-González Rosa Contreras Óscar D. Omaña-Ávila Iván A. Escalante-Pérez Natasha A. Camejo-Ávila Nicolle A. Kuffaty-Akkou Fhabián S. Carrión-Nessi Martín Carballo María E. Landaeta David A. Forero-Peña
author_facet	Andrea L. Maricuto Viledy L. Velásquez Jacinto Pineda David M. Flora-Noda Isaac Rodríguez Crismar A. Rodríguez-Inés Óscar O. Noya-González Rosa Contreras Óscar D. Omaña-Ávila Iván A. Escalante-Pérez Natasha A. Camejo-Ávila Nicolle A. Kuffaty-Akkou Fhabián S. Carrión-Nessi Martín Carballo María E. Landaeta David A. Forero-Peña
author_sort	Andrea L. Maricuto
title	Amoebic liver abscess in a COVID-19 patient: a case report
title_short	Amoebic liver abscess in a COVID-19 patient: a case report
title_full	Amoebic liver abscess in a COVID-19 patient: a case report
title_fullStr	Amoebic liver abscess in a COVID-19 patient: a case report
title_full_unstemmed	Amoebic liver abscess in a COVID-19 patient: a case report
title_sort	amoebic liver abscess in a covid-19 patient: a case report
publisher	BMC
publishDate	2021
url	https://doaj.org/article/0256ea2afd6d432584003361940ea684
work_keys_str_mv	AT andrealmaricuto amoebicliverabscessinacovid19patientacasereport AT viledylvelasquez amoebicliverabscessinacovid19patientacasereport AT jacintopineda amoebicliverabscessinacovid19patientacasereport AT davidmfloranoda amoebicliverabscessinacovid19patientacasereport AT isaacrodriguez amoebicliverabscessinacovid19patientacasereport AT crismararodriguezines amoebicliverabscessinacovid19patientacasereport AT oscaronoyagonzalez amoebicliverabscessinacovid19patientacasereport AT rosacontreras amoebicliverabscessinacovid19patientacasereport AT oscardomanaavila amoebicliverabscessinacovid19patientacasereport AT ivanaescalanteperez amoebicliverabscessinacovid19patientacasereport AT natashaacamejoavila amoebicliverabscessinacovid19patientacasereport AT nicolleakuffatyakkou amoebicliverabscessinacovid19patientacasereport AT fhabianscarrionnessi amoebicliverabscessinacovid19patientacasereport AT martincarballo amoebicliverabscessinacovid19patientacasereport AT mariaelandaeta amoebicliverabscessinacovid19patientacasereport AT davidaforeropena amoebicliverabscessinacovid19patientacasereport
_version_	1718442204918185984

Amoebic liver abscess in a COVID-19 patient: a case report

Ejemplares similares