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Extraintestinal Entamoeba Histolytica Amebiasis

Signs & Symptoms

 Oral-anal sexual contact
Ref: Epocrates [ https://online.epocrates.com/diseases/55311/Amebiasis/Highlights-Basics]
Men sex with men
Ref: Epocrates [ https://online.epocrates.com/diseases/55311/Amebiasis/Highlights-Basics]
Exposure in endemic areas
Note: within the previous 12 months
Ref: Epocrates [ https://online.epocrates.com/diseases/55311/Amebiasis/Highlights-Basics]
Painful genital ulcers
Note: due to Genitourinary tract Involvement
Ref: Harrison [ 1571]

Physical Examination

 Tenderness over the liver
Note: due to AMEBIC LIVER ABSCESS
Ref: Uptodate [ Extraintestinal Entamoeba histolytica amebiasis] Harrison [ 1571]
Percussion note
Note: If pleural effusion present, due to pleural effusion
Ref: Epocrates [ https://online.epocrates.com/diseases/55311/Amebiasis/Highlights-Basics]
Right lung decreased air entry
Note: If pleural effusion present, due to pleural effusion
Ref: Epocrates [ https://online.epocrates.com/diseases/55311/Amebiasis/Highlights-Basics]

Lab / Serology

 Elevated alkaline phosphatase
Note: due to AMEBIC LIVER ABSCESS
Ref: Uptodate [ Extraintestinal Entamoeba histolytica amebiasis]
Leukocytosis
Note: note to >10,000/mm3,due to AMEBIC LIVER ABSCESS
Ref: Uptodate [ Extraintestinal Entamoeba histolytica amebiasis]
Eosinophilia (negative symptom)
Ref: Uptodate [ Extraintestinal Entamoeba histolytica amebiasis]

Imagin Study

 Granular friable diffusely ulcerated colonic mucosa
Ref: Epocrates [ https://online.epocrates.com/diseases/55311/Amebiasis/Highlights-Basics]
Abnormal chest radiograph
Ref: Uptodate [ Extraintestinal Entamoeba histolytica amebiasis]
Right hemidiaphragm elevation
Note: due to effusion
Ref: Epocrates [ https://online.epocrates.com/diseases/55311/Amebiasis/Highlights-Basics]

Complication

 AMEBIC LIVER ABSCESS
Ref: Uptodate [ Extraintestinal Entamoeba histolytica amebiasis] Harrison [ 1571] Cecil [ 954]
Genitourinary tract Involvement
Ref: Harrison [ 1571]
Hepatic vein thrombosis
Note: due to AMEBIC LIVER ABSCESS
Ref: Uptodate [ Extraintestinal Entamoeba histolytica amebiasis]

Risk Factors

 Male
Ref: Epocrates [ https://online.epocrates.com/diseases/55332/Amebiasis/Risk-Factors]

Cause

 AMEBIC LIVER ABSCESS
Ref: Uptodate [ Extraintestinal Entamoeba histolytica amebiasis] Harrison [ 1571] Cecil [ 954]

Other