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Case Reports
. 2020 Dec 28;2020(12):omaa111.
doi: 10.1093/omcr/omaa111. eCollection 2020 Dec.

Secondary infection of amoeba and typhoid fever in severe malnourished pediatric patient with Type I choledocal cyst: a case report

Riyadi Adrizain  1 , Aprimadhansari  2 , Vita Indriasari  3 , Dikki Drajat Kusmayadi  3 , Djatnika Setiabudi  1
Affiliations
Case Reports

Secondary infection of amoeba and typhoid fever in severe malnourished pediatric patient with Type I choledocal cyst: a case report

Riyadi Adrizain et al. Oxf Med Case Reports. .

Abstract

Amebiasis is caused by the protozoan Entamoeba histolytica. Extraintestinal amebiasis manifestation includes liver abscess and other rare manifestations involving the lungs, heart and brain. Liver abscess is the most common extraintestinal manifestation. Only few cases of amebic splenic abscess and two cases of gall bladder abscess have been reported. Typhoid fever is an infection caused by Salmonella typhi. It can cause extraintestinal complications such as myocarditis, endocarditis, pneumonia, empyema, osteomyelitis, arthritis, cholecystitis, spleen abscess and liver abscess. Choledocal cyst is a congenital dilation of the biliary branch. If left untreated, it can cause morbidity from cholangitis, cyst perforation, liver failure and malignancy. Until now, there is no publication about double infection of amebic and salmonella infection in a child with choledocal cyst.

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Figures

Figure 1
Figure 1
Patient profile.
Figure 2
Figure 2
Abdominal CT scan with contrast.
Figure 3
Figure 3
Cyst fluid sample.
Figure 4
Figure 4
Histologic section of choledocal cyst and cyst fluid show (A) necrotic mass (B) erythrocyte and (C) rod shape bacteria.
See this image and copyright information in PMC

References

    1. Leder K, Weller PF. Extraintestinal Entamoeba histolytica Amebiasis. Uptodate Wolters Kluwer; 2019. https://www.uptodate.com/contents/extraintestinal-entamoeba-histolytica-... (1 July 2020, date last accessed).
    1. Boksh Z, Boksh Z, Chowdhury JA. Choledocal cyst-a case report and a detail review of literature including pathogenesis, complication and treatment. Int J Med Sci 2016;1:9–14. https://tijms.unishams.edu.my (1 July 2020, date last accessed).
    1. José-Ramírez H, Palomeque-López A, Cruz-López N, Jennings-Aguilar Y, Guzmán-Ortiz JD, Hernández-Cortez J, et al. Acute amoebic cholecystitis as differential diagnosis of gallbladder cancer. Report of an unusual case. Cirujano Gen 2016;38:22–7. https://www.medigraphic.com/cgi-bin/new/resumenI.cgi?IDREVISTA=8&IDARTIC... (1 July 2020, date last accessed).
    1. Bula-Rudas FJ, Rathore MH, Maraqa NF. Salmonella infections in childhood. Adv Pediatr 2015;62:29–58. doi: 10.1016/j.yapd.2015.04.005. - DOI - PubMed
    1. Soares KC, Goldstein SD, Ghaseb MA, Kamel I, Hackam DJ, Pawlik TM. Pediatric choledochal cysts: diagnosis and current management. Pediatr Surg Int 2016;33:637–50. doi: 10.1007/s00383-017-4203-3. - DOI - PubMed

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