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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Epidemiology and Infectious Diseases</journal-id><journal-title-group><journal-title xml:lang="en">Epidemiology and Infectious Diseases</journal-title><trans-title-group xml:lang="ru"><trans-title>Эпидемиология и инфекционные болезни</trans-title></trans-title-group></journal-title-group><issn publication-format="print">3034-2007</issn><issn publication-format="electronic">3034-2015</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">582012</article-id><article-id pub-id-type="doi">10.17816/EID582012</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Case reports</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Клинические случаи</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">A case of amebiasis with multiple liver abscesses: A way to diagnosis</article-title><trans-title-group xml:lang="ru"><trans-title>Случай внекишечного амёбиаза с развитием множественных абсцессов печени: путь к диагнозу</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5486-0837</contrib-id><contrib-id contrib-id-type="spin">5103-0451</contrib-id><name-alternatives><name xml:lang="en"><surname>Burgasova</surname><given-names>Olga A.</given-names></name><name xml:lang="ru"><surname>Бургасова</surname><given-names>Ольга Александровна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Dr. Sci. (Medicine), Professor</p></bio><bio xml:lang="ru"><p>доктор медицинских наук, профессор</p></bio><email>oburgasova@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5366-1281</contrib-id><contrib-id contrib-id-type="spin">2736-0683</contrib-id><name-alternatives><name xml:lang="en"><surname>Lebedev</surname><given-names>Sergei S.</given-names></name><name xml:lang="ru"><surname>Лебедев</surname><given-names>Сергей Сергеевич</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Cand. Sci. (Medicine), Assistant Professor</p></bio><bio xml:lang="ru"><p>кандидат медицинских наук, доцент</p></bio><email>lebedevssd@yandex.ru</email><xref ref-type="aff" rid="aff2"/><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8936-721X</contrib-id><contrib-id contrib-id-type="spin">8821-5492</contrib-id><name-alternatives><name xml:lang="en"><surname>Klimova</surname><given-names>Iuliia A.</given-names></name><name xml:lang="ru"><surname>Климова</surname><given-names>Юлия Александровна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Cand. Sci. (Medicine)</p></bio><bio xml:lang="ru"><p>кандидат медицинских наук</p></bio><email>yua_klimova@rudn.ru</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Peoples’ Friendship University of Russia named after Patrice Lumumba</institution></aff><aff><institution xml:lang="ru">Российский университет дружбы народов имени Патриса Лумумбы</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">S.P. Botkin City Clinical Hospital</institution></aff><aff><institution xml:lang="ru">Городская клиническая больница имени С.П. Боткина</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Russian Medical Academy of Continuous Professional Education</institution></aff><aff><institution xml:lang="ru">Российская медицинская академия непрерывного профессионального образования</institution></aff></aff-alternatives><pub-date date-type="preprint" iso-8601-date="2024-09-10" publication-format="electronic"><day>10</day><month>09</month><year>2024</year></pub-date><pub-date date-type="pub" iso-8601-date="2024-09-25" publication-format="electronic"><day>25</day><month>09</month><year>2024</year></pub-date><volume>29</volume><issue>4</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>309</fpage><lpage>316</lpage><history><date date-type="received" iso-8601-date="2023-09-17"><day>17</day><month>09</month><year>2023</year></date><date date-type="accepted" iso-8601-date="2024-07-24"><day>24</day><month>07</month><year>2024</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2024, Eco-vector</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2024, Эко-вектор</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="en">Eco-vector</copyright-holder><copyright-holder xml:lang="ru">Эко-вектор</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2027-10-07"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-nd/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://rjeid.com/1560-9529/article/view/582012">https://rjeid.com/1560-9529/article/view/582012</self-uri><abstract xml:lang="en"><p>Amebiasis is a protozoal disease common for tropical countries. It is not frequently diagnosed in Central Russia, and is mainly seen in travelers, people with immunodeficiency, as well as in men who have sex with men. The main manifestation of the disease is intestinal damage with the development of diarrhea. With the hematogenic spread of the pathogen, extra-intestinal lesions of different organs may develop with the formation of abscesses in them. The liver, lungs, brain, and skin are most often involved in the inflammatory process. In this article, we describe a case of extrahepatic amebiasis with multiple liver abscesses, which presented difficulties in diagnosis. We provide details of observation and key laboratory findings as well as results of radiological examinations. Appearance of imported amebiasis in the Moscow region proves its actual importance and significance of timely diagnosis and etiotropic therapy. The aim of the article is to draw attention to the problem of diagnosis and prophylaxis of amebiasis in Central Russia as a result of migration and tourism to endemic territories.</p></abstract><trans-abstract xml:lang="ru"><p>Амёбиаз — протозойное заболевание, актуально для стран с жарким климатом, встречается в средней полосе России нечасто и, как правило, диагностируется у путешественников, людей с иммунодефицитом, а также у мужчин, имеющих половые контакты с мужчинами. Основное проявление болезни — поражение кишечника с развитием диареи. При гематогенном распространении возбудителя могут формироваться внекишечные поражения органов с образованием в них абсцессов. Наиболее часто в воспалительный процесс оказываются вовлечены печень, лёгкие, головной мозг, кожа. В настоящей публикации представлен клинический случай внекишечного амёбиаза с развитием множественных абсцессов печени, представивший затруднения в диагностике. В статье проведён анализ клинических и лабораторных данных в динамике заболевания, дана оценка специфичных для амёбиаза симптомов, а также представлены результаты ключевых диагностических методов исследования, включая визуализационные. Появление завозной инфекции на территории Московского региона свидетельствует об актуализации этой нозологической формы, значимости проведения дифференциальной диагностики с заболеваниями инфекционной и неинфекционной природы, своевременной верификации этиологии и таргетной антибактериальной терапии. Целью статьи является привлечение внимания врачей к проблеме диагностики и профилактики завозных инфекций, в частности амёбиаза, который встречается в средней полосе России как результат миграции и активного туризма в эндемичные районы.</p></trans-abstract><kwd-group xml:lang="en"><kwd>amebiasis</kwd><kwd>liver abscess</kwd><kwd>pneumonia</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>амёбиаз</kwd><kwd>абсцесс печени</kwd><kwd>пневмония</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">Clinical recommendations (treatment protocol) for the provision of medical care to children with amebiasis. 2013. 66 p. Available from: http://niidi.ru/dotAsset/144a99cc-dcc1-443a-a862-d217a596d684.pdf (In Russ.)</mixed-citation><mixed-citation xml:lang="ru">Клинические рекомендации (протокол лечения) оказания медицинской помощи детям больным амёбиазом. 2013. 66 с. 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