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TRANSACTIONS
OF THH
ROYU
The pathology
B.
SOCIETY
OF TROPICAL
MEDICINE
AND HYGIENE,
VOL.
73, No.
2, 1979
study
Summary
qf Medical
and methods
Introduction
Observations
appearance
B.
Table
I-l?athology
and
hepatic amoebiasis-number
pathogenesis
and location
K.
AIKAT
et al.
189
of
of
Fig. 1. Photomlcrograph
from
submucosa
of
showing
an amoeba in a preformed
space (P.A.S.
1 RLLLBL
SINGLE
0
TOTAL
q RIGHT
1 RL LL BL
TWO
LOBE
an amoebic
x 90).
ulcer
T RLLL BI
MULTIPLE
CZ LEFT
LOBE
n BUTH
LOBES
of
confluence
of a number
of large abscess.
of
Fig. 3. Large
amoebic
pression
and thrombosis
hepatitis
causing
com-
190
PATHOLOGY
AND PATHOGENESIS
OF FATAL
HEPATIC
AMOEBIASIS
lesions
Fig. 5. Photomicrograph
of liver showing thrombosis
radicle of portal vein (H & E x 90).
of a small
Fig. 6. Photomicrograph
35).
Liver histology
B. K. AIKAT et al.
Discussion
Intestinal ulcers could be demonstrated in as
many as 62/u of the cases. In most cases amoebae
could be demonstrated within the venules or similar
preformed
spaces (lymphatics)
in ulcer beds.
Sections and aspirations from lymph nodes from
the mesenteric group and the porta hepatis failed
to reveal any amoebae in the lymphatic system. It is
very likely that amoebae cannot survive in the
adverse immunological environment of the lymphoreticular tissue. One of the authors (BKA) has
repeatedly demonstrated amoebae in the venules in
amoebic colitis without any complicating
hepatic
abscess. This indicates that in the natural history of
191
&
LAFLEUR,
189 1;
DEMICHELE,
192
PATHOLOGY
AND PATHOGENBSIS
OF FATAL
AMOEBIASIS
References
Journal,
HBPATIC
64, 299-304.
CORRIGENDA
Vol.
72, No. 3
72, No. 5
a2 n2 r31
r32
121
Cl2
PR =Cl
Vol.
c2
73, No. 1