Evidence map›Paper›PMID 21735108›Full record

ArticleInfection2012

Amoebic liver abscess with negative serologic markers for Entamoeba histolytica: mind the gap!

H Marn, R Ignatius, E Tannich, G Harms, M Schürmann, S Dieckmann

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Infection, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Amebic liver abscess diagnosed by polymerase chain reaction in 14 returning travelers.The American journal of tropical medicine and hygiene · 2012
    Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

H MarnInstitute of Tropical Medicine and International Health, Charité-Universitätsmedizin Berlin, Spandauer Damm 130, Haus 10, 14050 Berlin, Germany. heiko.marn@charite.de
R Ignatius
E Tannich
G Harms
M Schürmann
S Dieckmann

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 38-year-old male German traveller returning from Asia presented with fever, night sweats and abdominal complaints. Abdominal ultrasonography revealed several fast-growing abscesses of the liver. Three blood cultures as well as serologic investigations for the detection of antibodies to Entamoeba histolytica, performed on day 3 and 7 after the onset of clinical symptoms, remained negative. Stool microscopy revealed the presence of amoeba cysts compatible with E. histolytica infection. Taking both the amoebic and bacterial etiology of the abscesses into consideration, the patient was treated with metronidazole and ciprofloxacin followed by paromomycin. Antibodies to E. histolytica tested positive shortly after anti-amoebic therapy was initiated. The patient fully recovered, and ultrasound follow-up showed complete resolution of the abscesses within 50 days. This case leads to the conclusion that amoebic liver abscess should be considered despite negative amoeba serology and that ultrasonography is an important diagnostic tool for the early diagnosis of extraintestinal amoebiasis.

Indexed as

Administration, OralAdultAgglutination TestsAntigens, ProtozoanAntiprotozoal AgentsCiprofloxacinEntamoeba histolyticaEntamoebiasisFluorescent Antibody TechniqueGermanyHumansImmunoenzyme TechniquesLiverLiver Abscess, AmebicMaleMetronidazoleAntigens, ProtozoanAntiprotozoal AgentsCiprofloxacinMetronidazoleParomomycin

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.