Patient with fatty liver abscess due to parasites
Patient H.N.Q (20 years old) was admitted to the hospital with symptoms of persistent amputated abdominal pain in the right lower rib. According to medical history, the patient had stable health, occasionally eating raw vegetables but not fish salad. In particular, the patient does not have the habit of regularly exfoliating - a potential risk factor for the current disease.
Although there were no signs of fever, the liver ultrasound results showed many scattered abscesses, of which the largest was up to 30mm. Blood tests showed an increase in the number of white blood cells, especially those that are acidic. Suspecting the cause was parasitic infection, the doctor conducted a diagnostic serum test.
Test results determined that the patient tested positive for three types of parasites: large liver failure, dog Federative disease and eel worm. With the diagnosis of fatty liver abscess due to parasitic infection, the patient was prescribed a specific treatment regimen according to the instructions of the Ministry of Health. After two weeks of treatment, the patient's condition was stable and the clinical symptoms were gone.
Another case was Mr. N.V.T (54 years old, Soc Son - Hanoi) who was hospitalized with symptoms of a dull abdominal pain in the right lower rib. The patient said that he often ate raw garlic. The ultrasound results detected many liver abscesses, the largest of which was 38 x 26 mm in size. Serum testing determined that the patient was positive for large liver failure and worms that stabbed dogs and cats. The patient was diagnosed with fatty liver abscess due to parasitic infection and treated according to a suitable regimen. After a period of treatment, the patient's condition was stable, and the symptoms significantly decreased.
Risks and precautions
Dr. Tran Duy Hung - Head of the Department of virus - entomology, Central Hospital for Tropical Diseases - said: "Through the medical history of the two patients, it can be seen that the living environment and eating habits play an important role in the risk of disease. Factors affecting the risk of infection include living conditions, food hygiene and the environment."
Dr. Hung emphasized: "If not treated promptly, large abscesses can cause many dangerous complications such as infections, sepsis, liver failure or even multiple organ failure."
To prevent parasitic infections, doctors recommend: Eat cooked, drink boiled water, limit eating raw foods such as raw vegetables, fish salad, sour meat... If eating raw vegetables, you need to wash them thoroughly with clean water and rinse them under running water; Wash your hands before eating, after going to the toilet or coming into contact with soil; Exfoliate every 6 months/time.
families raising dogs and cats need to periodically deworm their pets to limit the risk of infection.
