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A Case Study of a 21-Month-Old Thai Child and a Literature Review

Eugene McCarty, MD; Chotima Pathmanand, MD; Pramuan Sunakorn, MD; Robert G. Scherz, MD

Am J Dis Child. 1973;126(1):67-70.

Abstract
A case of a 21-month-old child with hepatic abscess due to Entamoeba histolytica is presented. Serological testing included the soluble antigen fluorescent antibody test and immunoelectrophoresis.

A review of the world literature for infants and children with this entity suggests three observations: (1) Wherever the disease is indigenous among adults, it must be considered in the differential diagnosis when children present with dysentery and hepatomegaly. (2) There seems to be an increased prevalence of the childhood condition in southern Africa and Latin America. (3) Children less than 3 years old have hepatic abscess more frequently than older children.

Author Affiliations
Tacoma, Wash; Bangkok, Thailand; Tacoma, Wash

From the Department of Pediatrics, Madigan General Hospital, Tacoma, Wash (Drs. McCarty and Scherz); the Department of Pediatrics, Chulalongkorn University School of Medicine, Bangkok, Thailand (Dr. Pathmanand); and Bangkok Children's Hospital, Bangkok, Thailand (Dr. Sunakorn). Dr. McCarty is now with the Department of Pediatrics, Fort Carson Army Hospital, Fort Carson, Colo.

Footnotes
Received for publication Aug 28, 1972; accepted March 10, 1973.

Reprint requests to Box 361, Madigan Army Medical Center, Tacoma, WA 98431 (Dr. Scherz).

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