National Academy of Agricultural Sciences (NAAS)
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PRINT ISSN : 2319-7692
Online ISSN : 2319-7706 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcmas@gmail.com / submit@ijcmas.com Editor-in-chief: Dr.M.Prakash Index Copernicus ICV 2018: 95.39 NAAS RATING 2020: 5.38 |
The toxemic form of Schistosomiasis mansoni in children may be a predisposing factor forpyogenic liver abscess(PLA). As in large part of Espirito Santo, Southeast, Brazil, schistosomiasisis endemic and PLA are often diagnosed at the Childrens Hospital (Hospital Infantil Nossa Senhora da Gloria–HINSG) located in Vitoria capital. The aim of the present study was to analyze, through research of medical records, the causes of liver abscesses in children hospitalized at the Childrens Hospital(HINSG), from the years 2001 to 2012.The medical records of patients admitted to the HINSG during the period described above were revised. For data collection the records belonging to children that had been diagnosed with pyogenic abscess were analyzed.The results identified 68 cases of PLA and 39 of these cases had parasitological stool exams (PSE) recorded in the chart, with 3 positive for Schistosoma mansoni and 29 positive for other intestinal helminths, particularly Ascaris lumbricoides and Trichuris trichiura. It was also evidenced in this study, that the prevalence of intestinal helminthiases decreased in children admitted to the HINSG during that period, and the indices of pyogenic liver abscesses also declined. It was observed that 42 patients had hospital discharge and only 2 died, in the12-year period. Another important result suggests that the origin of patients with pyogenic liver abscess were from the region where ascariasisis not endemic. Through the obtained results, it was concluded that the association between PLA and schistosomiasis proved to be small, there is little overlapping in the geographical distribution of both diseases. On the other hand, the high prevalence of infection by other intestinal helminths and the large number of pyogenic abscesses diagnosed brings to believing that helminth infections with larvae that can migrate to the liver and form granulomas may also be a predisposing factor for liver abscess in children.
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