稲葉康記先生の論文が、Internal Medicine誌(Journal Citation Reports Impact Factor 2019 = 1.005)にpublishされました。
2020 Dec 1;59(23):3023-3026. doi: 10.2169/internalmedicine.5301-20.
Huge Amoebic Liver Abscess in the Left Lobe Treated by Oral Administration of Metronidazole
Yasunori Inaba, Naoya Izawa, Mutsumi Ishikawa, Akira Yamamiya, Koki Hoshi, Takahiro Arisaka, Yuichi Majima, Keiichi Tominaga, Makoto Iijima, Kenichi Goda, Atsushi Irisawa
PMID: 32727992 PMCID: PMC7759695 DOI: 10.2169/internalmedicine.5301-20
A man in his 60s visited a clinic with chief complaints of a fever and general malaise. Suspecting a liver abscess in the left lobe with infiltration into the subcutaneous fat tissue under the rectus abdominis muscle based on computed tomography findings, we performed fine-needle aspiration. An amoebic liver abscess was diagnosed. Remission was achieved by the oral administration of metronidazole alone without placement of a drainage tube. The results obtained in this case suggest that the first line of treatment should be a non-invasive approach with oral administration alone. Invasive intervention should then be considered depending on subsequent progress.
Keywords: amoebic liver abscess; metronidazole; percutaneous drainage.