Evidence map›Paper›PMID 34118991›Full record

ArticleTropical diseases, travel medicine and vaccines2021

Importation of Entamoeba histolytica and predominance of Klebsiella pneumoniae in liver abscesses: a 7-year retrospective cohort study from the United Arab Emirates.

Hussam Mousa, Ghada Salameh Mohammed Al-Bluwi, Zainab Fathi Mohammed Al Drini, Huda Imam Gasmelseed, Jamal Aldeen Alkoteesh, Zahir Osman Eltahir Babiker

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Tropical diseases, travel medicine and vaccines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06852235 (Characteristics and Treatment Outcome of Liver Abscesses), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.2field-weighted citation impact, top 47% of its field
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.

NCT06852235 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Characteristics and Treatment Outcome of Liver Abscesses: An Observational Study

TypeobservationalSponsorAssiut UniversityRan2025 to 2027Enrolled70ConditionsLiver Abscess
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Observational
  3. Diagnostics (Basel, Switzerland) · 2025
    Article
  4. Article
  5. 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 at 2 institutions in 1 country.

Hussam MousaDepartment of Surgery, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates.
Ghada Salameh Mohammed Al-BluwiDepartment of Internal Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates.
Zainab Fathi Mohammed Al DriniDepartment of Internal Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates.
Huda Imam GasmelseedDivision of Infectious Diseases, Al Ain Hospital, Al Ain, United Arab Emirates.
Jamal Aldeen AlkoteeshClinical Imaging Institute, Al Ain Hospital, Al Ain, United Arab Emirates.
Zahir Osman Eltahir BabikerDepartment of Internal Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates. zahirbabiker@doctors.org.uk.ORCID http://orcid.org/0000-0002-6129-4597
United Arab Emirates University · AEAl Ain Hospital · AE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a dearth of information on liver abscesses in the United Arab Emirates. Herein, we describe the clinical features of liver abscesses and determine their incidence rates and clinical outcomes.

methodsWe retrospectively reviewed the clinical charts of adult patients with a primary diagnosis of liver abscess at a major hospital over a 7-year period.

resultsAmongst 45 patients, 82.2% (37/45) had a pyogenic liver abscess (PLA) and 17.8% (8/45) had amoebic liver abscesses (ALA). Overall, patients were young (median age 42 years, IQR 35-52), mostly males (77.8%, 35/45) from the Indian subcontinent (55.6%, 25/45), presented with fever (88.9%, 40/45) and abdominal pain (88.9%, 40/45), and had a solitary abscess on imaging (71.1% (32/45). Crude annual incidence rates were 35.9/100,000 hospital admissions (95% CI 26.2-48.0) and 5.9/100,000 inhabitants (95% CI 4.3-7.9). All ALA patients were from the Indian subcontinent (100%, 8/8). Klebsiella pneumoniae was the most frequent pathogen in PLA (43.2% [16/37], 95% CI 27.1-60.5%). The hospital stay was shorter in ALA (7.5 days, IQR 7-8.5) than in PLA (14 days, IQR 9-17). No deaths were recorded within 30 days of hospitalisation.

conclusionsALA was exclusively seen in migrants from the Indian subcontinent, suggesting importation. Further research to characterise K. pneumoniae isolates and assess potential risk factors is needed.

Indexed as

Amoebic liver abscessCohort studiesKlebsiella infectionsPyogenic liver abscessTreatment outcomeUnited Arab Emirates

Identifiers

PMID34118991
PMCPMC8196433
OpenAlexW3166206333

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.