Atypical clinical manifestations of amebic colitis.
10.3346/jkms.1991.6.3.260
- Author:
Jung Hwan YOON
1
;
Ji Gon RYU
;
Jong Kyun LEE
;
Sae Jin YOON
;
Hyun Chae JUNG
;
In Sung SONG
;
Kyoo Wan CHOI
;
Chung Yong KIM
Author Information
1. Department of Internal Medicine, Seoul National University College of Medicine, Korea.
- Publication Type:Case Reports
- Keywords:
Amebiasis;
Amebic colitis;
Misdiagnosis;
Delayed recognition;
Idiopathic inflammatory bowel disease;
Chronic intestinal ulcerations;
Atypical clinical manifestations;
Recurrence
- MeSH:
Adult;
Aged;
Aged, 80 and over;
Colitis, Ulcerative/diagnosis;
Diagnosis, Differential;
Diarrhea/etiology;
Dysentery, Amebic/complications/drug therapy/*pathology;
Female;
Humans;
Inflammatory Bowel Diseases/diagnosis;
Male;
Middle Aged
- From:Journal of Korean Medical Science
1991;6(3):260-266
- CountryRepublic of Korea
- Language:English
-
Abstract:
Amebic colitis is a disease revealing diverse clinical manifestations and endoscopic gross features and often confused with other types of colitis. In case of misdiagnosis as an idiopathic inflammatory bowel disease or delayed recognition of intestinal amebiasis, an undesirable outcome may occur resulting from erroneous administration of steroids or delayed antiamebic treatment. To demonstrate the pitfalls in the diagnosis and treatment of intestinal amebiasis, 3 cases of amebic colitis with atypical clinical manifestations are presented in this paper. In conclusion, despite the low sensitivities of routine stool examination for parasite and histopathologic confirmation in biopsy specimen, every effort must be made to find amebic trophozoites either in fresh stool or biopsy specimens for prompt and correct diagnosis of amebic colitis when we manage patients with chronic intestinal ulcerations, even though their clinical course and endoscopic findings are not typical of amebiasis. Moreover, following initial successful anti-amebic therapy, more careful clinical, endoscopical, and parasitological follow-up should be done for the early detection of recurrence.
