ANALYSIS OF MISDIAGNOSIS OF 18 CASES WITH CAUSED LIVER ABSCESS INDUCED BY ENTAMOEBA HISTOLYTICA

[Objective]To explore the common causes for clinical misdiagnosis of amoebic liver abscess.[Methods]18 misdiagnosed cases of amebic liver abscess were retrospective analyzed.[Results]The clinical manifestations of amebic liver abscess were complicated and diverse,easily misdiagnosed as bacterial liver abscess and other hepatobiliary-system diseases. 18 cases of patients get confirmed by directly detection of Entamoeba Histolytica trophozoites with smears of liver puncture wound pus.[Conclusion]Clinicians should strengthen their understanding of the clinical manifestations and diagnosis,especially for clinical docimasters should familiarize with the formational structure of Entamoeba Histolytica to grasp the parasitological testing method of amebic-related diseases so as to avoid the misdiagnosis of Entamoeba Histolytica-caused liver abscess. The method of direct smears of liver puncture wound pus is simple,rapid and conducive to high positive rate. Therefore,it bears particular importance to etiological diagnosis of suspected patients and holds key to a timely diagnosis of Entamoeba Histolytica liver abscess.