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Doctors Found a Parasite Eating a Man’s Liver. Then Traced How He Got It

Doctors Found a Parasite Eating a Man’s Liver. Then Traced How He Got It

Summary

Doctors in Italy treated a man with large liver abscesses caused by a parasite usually found in tropical areas. They traced the infection to a sexual encounter, rather than the usual way the parasite spreads through contaminated food or water.

Key Facts

  • A 41-year-old man from northern Italy had two large liver abscesses detected by ultrasound and CT scan.
  • Tests showed the abscesses were caused by the parasite Entamoeba histolytica, which causes invasive amoebiasis.
  • The parasite is usually spread through contaminated food or water but in this case was likely transmitted sexually through oral-anal contact.
  • The man also had a Borrelia bacterial infection from body lice, confirmed by blood tests.
  • Symptoms included persistent diarrhea, weight loss, fevers, abdominal cramps, and lip/mouth swelling.
  • The man was treated with antibiotics metronidazole and paromomycin and made a full recovery.
  • The case shows that amoebiasis can occur outside tropical areas and can spread in unexpected ways.
  • Doctors identified the infection after asking detailed questions about the man’s intimate relationships.
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