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BIBTEX RIS

Pyogenic liver abscesses and acute schistosomiasis mansoni: report on 3 cases and experimental study

1996; Oxford University Press; Volume: 90; Issue: 3 Linguagem: Inglês

10.1016/s0035-9203(96)90249-7

1878-3503

Rosângela Teixeira, Maria das Dores Ferreira, Paulo Marcos Zech Coelho, Geraldo Brasileiro Filho, Geraldo Magela Azevedo, J R Lambertucci,

Appendicitis Diagnosis and Management

Three children with acute schistosomiasis mansoni developed pyogenic liver abscesses. The abscesses were diagnosed by ultrasonography and confirmed during laparotomy. Staphylococcus aureus were the sole bacteria isolated from the abscesses. An experimental study was carried out in mice to establish whether schistosomiasis is a predisposing cause for pyogenic liver abscesses. Seventeen mice (group 1) were infected with 40 Schistosoma mansoni cercariae (LE strain) and 60 d later inoculated intravenously with a strain of Staph. aureus, isolated from a patient with bacteraemia; 17 mice infected with Sch. mansoni (group 2), 19 infected with bacteria alone (group 3), and 18 uninfected mice (group 4), served as controls. Thirteen group 1 mice (77%) developed multiple liver abscesses while none was observed in the controls. These results indicate that acute schistosomiasis mansoni concurrent with Staph. aureus bacteraemia favours the colonization of the liver by bacteria and the development of pyogenic hepatic abscesses.