A Case of Steroid Treated Amebic Colitis Misdiagnosed as Eosinophilic Colitis.
- Author:
Eun Sun CHEONG
1
;
Yun Ju JO
;
Sang Bong AN
;
Seong Hwan KIM
;
Young Sook PARK
;
Won Mi LEE
;
Young Ok HONG
Author Information
1. Department of Internal Medicine, Eulji University College of Medicine, Seoul, Korea. jyj1138@eulji.ac.kr
- Publication Type:Case Report
- Keywords:
Amoeba;
Liver abscess;
Steroids;
Eosinophilic colitis
- MeSH:
Abdominal Pain;
Abscess;
Amoeba;
Ascites;
Colitis;
Diagnosis, Differential;
Diagnostic Errors;
Diarrhea;
Dysentery, Amebic;
Eosinophils;
Humans;
Inflammatory Bowel Diseases;
Liver;
Liver Abscess;
Male;
Steroids
- From:Korean Journal of Gastrointestinal Endoscopy
2011;43(1):42-46
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Some cases have reported that amebic colitis leads to serious complications that are caused by a misdiagnosis of an inflammatory bowel disease and consequential ill-managed steroid therapy. Therefore, it should be stressed that the differential diagnosis on such a case is very important. Eosinophilic colitis may reveal its presence as diarrhea, abdominal pain, ascites, and eosinophilic deposits in tissues. Therefore, it is highly necessary to make a differential diagnosis to distinguish eosinophilic colitis from other infectious or inflammatory bowel diseases. We report a case of amebic colitis, which was mistakenly diagnosed as eosinophilic colitis and a liver eosinophilic abscess in a young male who complained of bloody diarrhea and right upper quadrant pain. However, the misdiagnosed steroid therapy did not aggravate the progress of the amebic infection.
