Amebic Liver Abscess and Human Immunodeficiency Virus Infection
- 1 July 2001
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Clinical Gastroenterology
- Vol. 33 (1), 64-68
- https://doi.org/10.1097/00004836-200107000-00016
Abstract
Invasive amebiasis rarely occurs in homosexual men and human immunodeficiency virus (HIV)-infected individuals and has not been regarded as a beacon for concomitant HIV infection. We encountered a bisexual man with a protracted course of amebic liver abscess and amebic colitis. In the presence of fever, generalized lymphadenopathy, and elevated serum aminotransferase levels, HIV infection was suspected and then confirmed by a de novo seroconversion of HIV antibody. Subsequently, we noted two consecutive patients with amebic liver abscess, also later found to be infected with HIV. The ameba obtained from these three cases was identified as Entamoeba histolytica by amplification of 16S ribosomal RNA by polymerase chain reaction and direct sequencing. This observation suggests that amebic liver abscess and colitis can be presentations for HIV infection in the Far East. Thus, the local patients with invasive amebiasis, especially those with a protracted course or with risk factors of HIV infection, should be tested for HIV.Keywords
This publication has 12 references indexed in Scilit:
- Acute Human Immunodeficiency Virus Type 1 InfectionNew England Journal of Medicine, 1998
- Amebic liver abscessThe Esophagus, 1996
- Ribosomal RNA genes of ‘pathogenic’ and ‘nonpathogenic’ Entamoeba histolytica are distinctMolecular and Biochemical Parasitology, 1991
- Pathogenic zymodemes of Entamoeba histolytica in Japanese male homosexual populationTransactions of the Royal Society of Tropical Medicine and Hygiene, 1989
- Entamoeba histolyticaas a Commensal Intestinal Parasite in Homosexual MenNew England Journal of Medicine, 1986
- The Polymicrobial Origin of Intestinal Infections in Homosexual MenNew England Journal of Medicine, 1983
- Electrophoretic isoenzyme patterns of Entamoeba histolytica and Entamoeba coliTransactions of the Royal Society of Tropical Medicine and Hygiene, 1978
- Venereal transmission of enteric pathogens in male homosexuals. Two case reportsJAMA, 1977
- Amoebic dysentery precipitated by corticosteroids.BMJ, 1969
- Fatal Amebiasis Complicating Corticosteroid Management of Pemphigus VulgarisNew England Journal of Medicine, 1959