小兒阿米巴症之臨床觀察

Clinical Observation of Amebiasis in Children

黃連進(Lien-Chin Huang) ； 許瑞雲(Jei-Yun Hsu)

《Acta Paediatrica Sinica》 5卷3期 (1964/09) Pp. 131-141

並列摘要

There were 14 cases of amebiasis admitted to the Pediatric Ward of National Taiwan University Hospital during the 17-year period of 1946-1962. The clinical observations are summarized as follows:
1. Thirteen of these 14 cases showed symptoms and signs of amebic dysentery with 5 cases complicated with liver abscess, another case was found to have amebic liver abscess without history of dysentery.
2. Two cases died: one developed pyothorax due to perforation of amebic liver abscess, and the other generalized peritonitis due to perforated appendicitis. Other complications such as pleural effusion, rectal stricture, sigmoid stenosis due to granuloma, and localized peritonitis probably due to perforation of appendix were found in other cases.
3. The clinical manifestations of amebic liver abscess in children were similar to those in adults reported in Taiwan except that in children:
a) high fever was more frequently seen, b) leukocytosis was more marked and c) elevation of diaphragm seen by radiography was less common than in adults.
4. Not all amebic stools were typically mucous with blood.
5. Although in the majority of cases with amebic liver abscess the pus revealed chocolate colored, but in some cases whitish or yellowish.
6. In the treatment of amebic dysentery, the use of emetine or carbarsone with or without combination of antibiotics such as terramycin, aureomycin or ilosone usually obtained satisfactory results.
7. The average duration of treatment was shorter in those cases of amebic liver abscess treated conservatively with repeated puncture than in those cases treated with surgical drainage.