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Memórias do Instituto Oswaldo Cruz
Fundação Oswaldo Cruz, Fiocruz
ISSN: 1678-8060
EISSN: 1678-8060
Vol. 96, No. s1, 2001, pp. 143-146
Bioline Code: oc01165
Full paper language: English
Document type: Research Article
Document available free of charge

Memórias do Instituto Oswaldo Cruz, Vol. 96, No. s1, 2001, pp. 143-146

 en Schistosomiasis mansoni is Asssociated with Pyogenic Liver Abscesses in the State of Minas Gerais, Brazil
Rosângela Teixeira; Francis Jardim Pfeilsticker; Giovanna DC Santa Cecília; Vandack Nobre; Lúcia Porto Fonseca; José Carlos Serufo; Paulo Marcos Zech Coelho & José Roberto Lambertucci

Abstract

The association between pyogenic liver abscesses and schistosomiasis has been confirmed by clinical and experimental studies. In this retrospective study of 78 patients with pyogenic liver abscesses the association with schistosomiasis has been investigated. Pyodermitis, a known focus of bacteremia, was observed in 19 patients (24%). Blood eosinophilia was observed in 30 patients (39%). Staphylococcus aureus check for this species in other resources was cultured from abscesses in 17 out of 38 patients (45%). Forty-one out of 57 patients (53%) had stool examination. Schistosoma mansoni check for this species in other resources was the main parasite identified. Eggs of S. mansoni were also identified in liver biopsies in 7 out of 19 patients who did the exam. The large number of young patients with liver abscesses described here is different from what has been observed in developed countries. This clinical study provide support for the concept that granulomas of S. mansoni check for this species in other resources in the liver are foci for colonization with S. aureus check for this species in other resources , which in presence of staphylococcal bacteremia can form liver abscesses.

Keywords
liver abscess, schistosomiasis, staphylococcal bacteremia, Minas Gerais, Brazil

 
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