Applied Gerontology and Geriatric Medicine

Visceral Amebiasis of the Elderly: A Report About Two Cases Observed In the Department Of Internal Medicine and Geriatrics at Treichville University Hospital

*Konan Nguessan Michel
Department Of Internal Medicine And Geriatrics, University Hospital Center, France

*Corresponding Author:
Konan Nguessan Michel
Department Of Internal Medicine And Geriatrics, University Hospital Center, France
Email:nguessanmichel_konan@yahoo.fr

Published on: 2018-11-30

Abstract

Introduction: Visceral amebiasis of the elderly is rare even in areas of high endemicity such as the Ivory Coast. Its atypical clinical presentation leads to the use of sensitive and specific serological tests as the best diagnostic means.
Clinical case: We report 2 cases of hepatic amebiasis in two septuagenarians with pleural extension in one and Pleuropulmonary in the other. The abscessed hepatic formations were found in both cases, one with a pleural effusion syndrome associated with an abscess of the lung; in the other only a pleural effusion syndrome. These patients had had an ultrasound-guided pleural and hepatic puncture. Diagnostic confirmation is provided by the amoebic serology (latex and / or indirect immunofluorescence) highly positive in both cases. The healing obtained by the initiated treatment of nitroimidazole and tissue amebicides also helped confirm the diagnosis.
Conclusion: A satisfactory geriatric assessment in elderly carriers of visceral amebiasis can lead to diagnostic errors. Serological tests may help correct the diagnosis and an appropriate management can effectively reduce mortality.

Keywords

Visceral Amebiasis; Elderly; Serological Tests

Introduction

Amebiasis is a cosmopolitan parasitosis. Approximately 10% of the world’s population is chronically infected with Entamoeba histolytica. The majority of this population lives in the tropical zone. It is the third leading cause of death due to a parasitic infection throughout the world after malaria and schistosomiasis. In only 1% of cases the infection evolves towards the formation of abscesses, generally hepatic, and more rarely pulmonary or cerebral: it is visceral amebiasis.