最近审阅: 25 十月 2020
最近更新: 29 五月 2020

小结

定义

病史和体格检查

其他诊断因素

  • 广泛性腹痛
  • 右上象限腹痛
  • 体重减轻
  • 咳嗽
  • 发热
  • 精神状态改变或肢体无力
  • 呼吸困难
  • 腹部的保护和反跳痛
  • 黄疸
  • 右肺空气进入减少,并出现叩诊音

危险因素

  • 疾病流行区暴露史
  • 智力障碍人士收容机构
  • 男男性行为者
  • 口-肛性接触
  • HIV 感染,既往或当前梅毒感染
  • 男性

诊断性检查

首要检查

  • 粪便抗原检测
  • 对粪便或肝脓肿脓液进行 PCR 或 qPCR 检测溶组织内阿米巴 DNA
  • 血清抗体检测
更多 首要检查

需考虑的检查

  • 粪便显微镜检查
  • 结肠镜检查
  • 肝脏超声
  • 胸部 X 线检查 (CXR)
  • 肝脏/胸部/头部 CT
  • 颅脑 MRI 扫描
更多 需考虑的检查

治疗流程

撰稿人

Attending physician

AIDS Clinical Center

National Center for Global health and Medicine

Tokyo

Japan

利益声明

KW is an author of a number of references cited in this topic.

Dr Koji Watanabe would like to gratefully acknowledge Dr William A. Petri, a previous contributor to this topic. WAP is a consultant for TechLab, Inc. which manufactures diagnostic tests for amoebiasis and is also the author of a number of references cited in this topic.

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Senior Lecturer in Microbiology and Medicine

Department of Clinical Microbiology and Infectious Diseases

Hadassah-Hebrew University Medical Center

Jerusalem

Israel

利益声明

RNP declares that he has no competing interests.

Assistant Professor of Medicine

Division of Infectious Diseases

University of Vermont College of Medicine

Burlington

VT

利益声明

CH declares that he has no competing interests.

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