Case Report: Percutaneous catheter drainage in the treatment of amebic liver abscess with syphilis infections — a case study and literature review
IntroductionAmebic liver abscesses (ALAs) result from Entamoeba histolytica, a protozoan parasite transmitted through contaminated food or water. Diagnosis relies on imaging and serology, and treatment typically involves antibiotics such as metronidazole.Case presentationHerein, we present a case of...
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Frontiers Media S.A.
2025-08-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1620317/full |
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| author | Ting-Teng Yang Ting-Teng Yang Han-Chuan Chuang Wen-Chao Chen Yu-Shan Hsieh Yu-Shan Hsieh |
| author_facet | Ting-Teng Yang Ting-Teng Yang Han-Chuan Chuang Wen-Chao Chen Yu-Shan Hsieh Yu-Shan Hsieh |
| author_sort | Ting-Teng Yang |
| collection | DOAJ |
| description | IntroductionAmebic liver abscesses (ALAs) result from Entamoeba histolytica, a protozoan parasite transmitted through contaminated food or water. Diagnosis relies on imaging and serology, and treatment typically involves antibiotics such as metronidazole.Case presentationHerein, we present a case of a 47-year-old man who presented with hepatitis B virus and syphilis infections during admission. Laboratory tests and computed tomography scan revealed a liver abscess. Percutaneous catheter drainage (PCD) was conducted on the day of admission. Positive amebiasis titers confirmed ALAs. Although culture of the purulent material from the abscess later showed no bacterial growth, ceftriaxone and metronidazole were kept empirically. The patient was discharged in stable clinical condition, and the drainage tube was removed 2 weeks after discharge.ConclusionOur case demonstrated a scenario in which continuous PCD was initiated alongside traditional medical treatment in the risk group for ALAs and PCD complications. The symptoms were successfully relieved, and he recovered well without any complications. |
| format | Article |
| id | doaj-art-c8b0adcd2ae24c088211bb96b447ba68 |
| institution | Kabale University |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-c8b0adcd2ae24c088211bb96b447ba682025-08-20T04:00:48ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-08-011210.3389/fmed.2025.16203171620317Case Report: Percutaneous catheter drainage in the treatment of amebic liver abscess with syphilis infections — a case study and literature reviewTing-Teng Yang0Ting-Teng Yang1Han-Chuan Chuang2Wen-Chao Chen3Yu-Shan Hsieh4Yu-Shan Hsieh5Division of Gastroenterology and Hepatology, Department of Internal Medicine, Taipei Medical University Hospital, Taipei, TaiwanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Lotung Poh-Ai Hospital, Yilan, County, TaiwanDivision of Infection Diseases, Department of Internal Medicine, Taipei Medical University Hospital, Taipei, TaiwanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Taipei Medical University Hospital, Taipei, TaiwanSchool of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, TaiwanDepartment of Research, Taipei Medical University Hospital, Taipei, TaiwanIntroductionAmebic liver abscesses (ALAs) result from Entamoeba histolytica, a protozoan parasite transmitted through contaminated food or water. Diagnosis relies on imaging and serology, and treatment typically involves antibiotics such as metronidazole.Case presentationHerein, we present a case of a 47-year-old man who presented with hepatitis B virus and syphilis infections during admission. Laboratory tests and computed tomography scan revealed a liver abscess. Percutaneous catheter drainage (PCD) was conducted on the day of admission. Positive amebiasis titers confirmed ALAs. Although culture of the purulent material from the abscess later showed no bacterial growth, ceftriaxone and metronidazole were kept empirically. The patient was discharged in stable clinical condition, and the drainage tube was removed 2 weeks after discharge.ConclusionOur case demonstrated a scenario in which continuous PCD was initiated alongside traditional medical treatment in the risk group for ALAs and PCD complications. The symptoms were successfully relieved, and he recovered well without any complications.https://www.frontiersin.org/articles/10.3389/fmed.2025.1620317/fullpercutaneous catheter drainageliver abscessesmultiple infectedsyphilisamebic abscess |
| spellingShingle | Ting-Teng Yang Ting-Teng Yang Han-Chuan Chuang Wen-Chao Chen Yu-Shan Hsieh Yu-Shan Hsieh Case Report: Percutaneous catheter drainage in the treatment of amebic liver abscess with syphilis infections — a case study and literature review Frontiers in Medicine percutaneous catheter drainage liver abscesses multiple infected syphilis amebic abscess |
| title | Case Report: Percutaneous catheter drainage in the treatment of amebic liver abscess with syphilis infections — a case study and literature review |
| title_full | Case Report: Percutaneous catheter drainage in the treatment of amebic liver abscess with syphilis infections — a case study and literature review |
| title_fullStr | Case Report: Percutaneous catheter drainage in the treatment of amebic liver abscess with syphilis infections — a case study and literature review |
| title_full_unstemmed | Case Report: Percutaneous catheter drainage in the treatment of amebic liver abscess with syphilis infections — a case study and literature review |
| title_short | Case Report: Percutaneous catheter drainage in the treatment of amebic liver abscess with syphilis infections — a case study and literature review |
| title_sort | case report percutaneous catheter drainage in the treatment of amebic liver abscess with syphilis infections a case study and literature review |
| topic | percutaneous catheter drainage liver abscesses multiple infected syphilis amebic abscess |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1620317/full |
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