Circulating E. histolytica antigens clear with successful treatment of amoebic liver abscess.

An antigen capture ELISA was used to measure serum E. histolytica antigen and antibody levels in 23 patients with amebic liver abscess (ALA), 15 patients with intestinal amebic infections (IAI), and 20 normal controls. 16 of the 23 (70%) with ALA had antigenemia.

Ultrasonography in the diagnosis and management of 52 patients with amebic liver abscess in Cairo.

Clinical characteristics of 52 patients with amebic liver abscess are reported. Forty-two percent had an acute illness, usually with high fever, vomiting, sweating, pain in the abdominal right upper quadrant, and leukocytosis. The other 58% had a more chronic illness, usually with a dull ache in the right upper abdomen, weight loss, fatigue, moderate or low-grade pyrexia, and anemia.

Ultrasonographic resolution time for amebic liver abscess.

Hepatic ultrasonography not only can be used to detect amebic liver abscess, but can follow its resolution. Twenty-five patients with 32 abscesses had hepatic sonography performed repeatedly. Sonography clearly demonstrated abscesses of 1-22 cm; 19 patients (76%) had abscesses only in the right lobe of the liver, and 22 (88%) had solitary abscesses.

Tamponade and injection sclerotherapy in the management of bleeding oesophageal varices.

One hundred patients with bleeding oesophageal varices were randomized into two treatment groups after resuscitation. One group was managed by tamponade only (group 1); the other group (group 2) was treated by endoscopic injection of oesophageal varices. The patients in group 2 were further subdivided into 25 patients (group 2a), who had tamponade applied immediately after sclerotherapy, and 25 patients (group 2b), who had sclerotherapy without subsequent tamponade.