Abdominal pain thought due to post-Covid-19 , went to see a liver abscess

On the afternoon of May 4, Tam Anh Hospital in Ho Chi Minh City said that it had just received and treated many cases of severe liver fluke, causing an abscess that was thought to be post-Covid-19.

The first case is Ms. MTD.H (37 years old, from Tan Phu district), with dull pain in the right epigastrium and lower abdomen, accompanied by a slight fever. At first, she thought she had a stomach ache, but she didn’t go away with self-medication. This situation lasted until the 10th day, she thought it was caused by Covid-19 so she rushed to see a doctor.

The doctor reads the patient’s examination results after the treatment period for the liver abscess

At the Emergency Department of Tam Anh General Hospital, doctors noted that the patient had signs of digestive disorders. Blood test results show a 30% increase in eosinophils (usually less than 7%). BSCKI Hoang Dinh Thanh, Center for Endoscopy and Gastrointestinal Endoscopy at Tam Anh General Hospital, said this is one of the signs that suggest parasitic disease.

The patient continued to have an ultrasound and found an abscess (pus) in the right liver (lower segment 6) size 70x71mm, surrounding infiltrates, inside this abscess there are 4-6 small scattered foci, about 18x15mm in size.

The blood test results by ELISA immunoassay technique showed that the patient had a small liver fluke (commonly known as a small liver fluke). Patients are hospitalized for treatment, taking drugs to kill liver flukes and monitoring the status of abscesses, there may be bacterial superinfections, may have to use more antibiotics or drain the pus out. Cases of liver fluke that create abscesses take 3-12 months to heal. Currently the patient’s health is stable.

The second case is Ms. D.GQY (38 years old, living in Tan Phu district) infected with liver fluke, creating an abscess in the liver. Patients often eat raw shrimp with mustard. Just like the above case, Yen has just recovered from Covid-19 for 20 days, feeling pain in the epigastrium but no fever. At first, she thought that her stomach pain was caused by taking drugs when she had Covid-19. However, after taking medicine to treat stomach disease bought by herself, the disease still did not decrease, so she thought it was caused by Covid-19.

Liver abscess in patients with MDR.H

In the emergency department, through abdominal ultrasound (hepatobiliary, pancreas, spleen, kidney, bladder), blood tests, hematology analysis and basic biochemical tests, doctors detected eosinophils. in the blood increased by 27%. In the liver, there is an abscess with a size of 43×76 mm and some other foci with a maximum size of 50×48 mm. She was hospitalized for treatment of small liver flukes.

According to BSCKI Huynh Van 11). car. All patients had good treatment progress, no complications.