PATIENTS DEMOGRAPHICS AND PREDISPOSING FACTORS FOR AMOEBIC LIVER ABSCESS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 34
Abstract
BACKGROUND Amoebiasis is a common disease in the tropics presenting with dysentery, due to the bad hygiene, contamination of foods and water by Entamoeba histolytica. Very rarely amoebic dysentery may complicate and form an abscess in the liver leading to amoebic liver abscess. Entamoeba histolytica belongs to class Rhizopodia and order Amoebidae and genus of the Entamoeba. 1 Prevalence of amoebic infection varies from 3.8 to 50%. The highest prevalence of infection is seen in the age group of 20-50 years with a significant male predominance, male to female ratio of 7:1-20:1. 2 The aim of this study is to evaluate the patients’ demographic characteristics and predisposing factors for amoebic liver abscess in order to draw up a disease control strategy locally in Karwar. MATERIALS AND METHODS Thirty-five patients admitted with confirmed diagnosis of amoebic liver abscess in general medicine department of Karwar Institute of Medical Sciences were selected for this study. This study was conducted over a period of one year in 2016-17. Inclusion criteria were, patients having right hypochondriac pain and palpable tender liver with intercostal tenderness &/or patients having fever, chills, rigor with palpable tender liver &/or patients having cough, breathlessness, right sided chest pain and palpable tender liver&/or patients having loose motion, pain abdomen and palpable tender liver. Laboratory investigations were done for confirmation of amoebic liver abscess and predisposing factors. RESULTS The youngest patient in the present study was 23 years old and the oldest patient was aged 65 years. Maximum incidence in age group of 31-50 years. Male (88.6%) preponderance of this disease is seen in this study. In the present study, 88.6% of the patients are from low-socio economic status. Eighty percent of the patients of amoebic liver abscess were alcoholic, two were HIV positive and one was HbsAg positive. None of patients was diabetic in this study. CONCLUSION In this study, maximum incidence of amoebic liver abscess was observed in age group of 31-50 years and male preponderance was observed. The disease was common in the low socioeconomic status people and alcoholism was major risk factor.
Authors and Affiliations
Aravind Ramachandra Mirajkar, Kalavathi G. P
Keywords
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- EP ID EP571085
- DOI 10.18410/jebmh/2018/515
- Views 79
- Downloads 0
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