Amebic liver abscess in Israeli travelers: A retrospective study

Tamar Lachish, Anat Wieder-Finesod, Eli Schwartz*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Amebic liver abscess (ALA) is endemic in developing countries. The epidemiology and clinical characteristics of the disease in developing countries are well described. Travelers from nonendemic countries can serve as a model for the natural history of ALA. Currently, the available literature on travelers is limited. This is a retrospective observational study on Israeli travelers diagnosed with ALA. Data regarding travel history, clinical presentation, imaging, and treatment were collected and analyzed. Among 6,867 ill returning Israeli travelers, amebiasis was diagnosed in 53 travelers (0.77%), of whom 14 were with ALA (0.2%). Twelve ALA cases (86%) had an exposure in the Indian subcontinent. The male to female ratio was 1:1, with no significant clinical differences between the sexes. The average lag period between exposure and onset of symptoms was 17.1 months. The lack of male predominance and the prolonged lag period may imply that behavioral factors are pivotal in the development of ALA. Larger case series of travelers are required.

Original languageEnglish
Pages (from-to)1015-1019
Number of pages5
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume94
Issue number5
DOIs
StatePublished - May 2016

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