A patient with amebic colitis in which the rare complication of ameboma developed accompanying liver abscess is presented. The diagnosis was made by colonic mucosal biopsy and microscopic stool examination which revealed hematophagous trophzoites of Entamoeba histolytica. All rnanifestations of this patient's illness, including liver abscess, completley reverted to normal after appropriate therapy.
Amebiasis* ; Biopsy ; Colon ; Diagnosis ; Dysentery, Amebic* ; Entamoeba histolytica ; Humans ; Liver Abscess* ; Liver*

An acute fulminant amoebic colits rarely develops as a complication of amoebiasis, and is difficult to diagnose and treat when it occurs. It is a life-threatening disease, and associated with a very high mortality rate. Herein, a case 42-old-year man, who had a generalized peritonitis caused by an acute fulminant amoebic colitis, is reported, with a review of the literature. He died of multiple organ failure, following sepsis and disseminated intravascular coagulation, on the 19th day after his operation, despite treatment with aggressive surgery and anti-amoebic agents. An emergency laparotomy should be considered when an acute fulminant amoebic colitis deteriorates despite the use of intensive anti-amoebic therapy, especially when there is an acute episode suggestive of perforation. A primary total resection of the diseased colon is one of the treatments of choice.
Amebiasis ; Colon ; Disseminated Intravascular Coagulation ; Dysentery, Amebic* ; Emergencies ; Laparotomy ; Mortality ; Multiple Organ Failure ; Peritonitis* ; Sepsis

Researches in veterinary protozoology until the end of World War II were carried out entirely by Japanese workers such as Danagga, Yamada, Yuhoba and Isshiki. After the Korean war, investigations have been made by several Korean researchers such as Lee's, Son, Joen and Jang. The total species and genera of veterinary protozoa reported by authors up to date were 19 genera and 59 species except the commensal ciliates. Incidence of the protozoa were carried out for 4 years(1972-l975) by examining fecal samples and vaginal swabs in order to know the parasitic status of the domestic animals and poultry. The results are shown as followings. In dairy cattle: Entamoeba bovis 41.4 per cent , Eimeria spp. 5.6-15.0 per cent. In native cattle: Entamoeba bovis 47.6 per cent, Tritrichomonas foetus 8.5 per cent. In native horse: Eimeria sp. 10.0 per cent. In goat: Eimeria spp. 100 per cent. In swine: Entamoeba spp. 55.44 per cent, Eimeria spp. 20 per cent, Balantidium coli 66.58 per cent. In dog: Isospora bigemina(Large type) 8.7 per cent, Giardia canis 4.4 per cent. In cat: Isospora spp. 12.8 per cent. In hare: Entamoeba cuniculi 12.0 per cent, Eimeria spp. 20.0 per cent, Chilomastix cuniculi 12.0 per cent , Giardia cuniculi 4.0 per cent. In turkey: Eimeria spp. 33.3 per cent, Hexamita meleagriais 8.3 per cent. In chicken: Eimeria spp. 26.8 per cent. The main protozoan diseases of the domestic animals and poultry in Korea may be summarized from the data reported and surveyed as followings. Coccidiosis; poultry, hare, goat, cattle, swine. Theileriasis; cattle. Babesiasis; cattle, dog. Anaplasmosis; cattle, goat. Eperythrozoonosis; cattle, swine. Leucocytozoonosis; chicken. Histomoniasis; chicken. Toxoplasmosis; swine, cat. Balantidiasis; swine. Besnoitiosis; native cattle. Amoebiasis; swine, cattle. Sarcosporidiosis; Cattle, swine.
parasitology-protozoa ; epidemiology ; cattle ; horse ; swine ; dog ; hare ; turkey ; cat ; Entamoeba bovis ; Eimeria spp. ; tritrichomonas foetus ; Entamoeba spp. ; Balantidium coli ; Isospora bigemina ; Giardia canis ; Isospora spp. ; Entamoeba cuniculi ; Chilomastix cuniculi ; Giardia cuniculi ; Hexamita meleagriais ; Coccidiosis ; Theileriasis ; Babesiasis ; Anaplasmosis ; Eperythrozoonosis ; Leucocytozoonosis ; Histomoniasis ; Toxoplasmosis ; Balantidiasis ; Besnoitiosis ; Amoebiasis ; Sarcosporidiosis

Female patient, 29 age, married, lives in Ha Long. Admitted of hospital 16/03/2001. Reason for admitted hospital: prolonged fever symtoms: splenomegaly, hepatomegaly, enlargement of the lymph glands, anemia, purpura. Investigation: thrombocytopenia, hypohemoglobin, hyperglobulin, HIV positive. Hypermacrophages were indentidied by microsscopy in the bone marrow smear: parasites in macrophages look like Amastigote of Leishmania parasites in the atlas (the morphology of human blood cells- abbott laboratories). Born marrow cultured in NNN medium: identidied promastigote. Diagnosis: visceral Leishmaniaxsis. It was confirmed by Karolinska hospital of Sweden, China, Singapore, Australia. This is first case indentified in Vietnam
Leishmaniasis, Visceral ; Leishmania donovani

A female patient 29 years old, married, lived in Halong was admitted to hospital in 16/03/2001. Reason for admitting hospital: prolonged fever. Symptoms: splenomegaly, hepatomegaly, enlargement of the lymph glands, amenia and purpura. Investigation: Thrombocytepenia, hypomemoglobin, hyperglobulin, HIV positive. Hypermacrophages were identified by microscopy in the born marrow smear: parasites in macrophages look like Amastigote of Leishmania parasites in the Atlas (The morphology of human blood cells- Abbott laboratories). Born marrow cultured in N.N.N medium: identified Promastigotes. Diagnosis: Visceral Leishmaniasis. It was confirmed by Karolinska hospital of Sweden, China, and Singapore. This is first case identified in Vietnam
Leishmaniasis, Visceral ; Leishmania donovani

International travel has become increasingly common as travelers of various purposes. It is estimated that there are 900 million international tourist arrivals alone each year. Unfortunately, some health impairments were reported in about 50% of short term travelers to the tropics or sub-tropics, usually due to infectious agents. In this paper, the author reviewed imported parasitic diseases in Korea from 1970 to 2009 with literature and data collected by Korea Centers for Disease Control and Prevention (KCDC). The author also reviewed warning points about parasitic disease in pregnant and immune deficit travelers. Most prevalent imported parasitic disease was malaria. About 30~70 travelers infected with malaria are returned home anually from abroad, mostly South East Asia and Africa. Subtype of malaria classified from 2003~2006 surveillance data showed Plasmodium falciparum infection in about 55% of patients identified. Over 20 cases of hydatid disease and cutaneous leishmaniasis cases were reported respectively. Visceral leishmaniasis (5 cases), babesiosis (7 cases), loiasis (3 cases), cutaneous myiasis (1 case), pentastomiasis (1 case), gnathostomiasis (4 cases, 41 people), angiostrongylosis (1 case, 10 people), heterophyiasis (2 cases), schistosomiasis (13 cases), cyclosporiasis (1 case), cutaneous larva migrans (4 cases), ancylostomiasis (1 case) and syngamosis (1 case) were reported. Prevention and surveillance plan of imported parasitic diseases is organized and conducted by KCDC since 2001. According to increasing travel to developing or under developed countries, retraining of doctor and technician, systematization of consulting system for diagnosis of parasitic disease, supply of medication, supplement of the personnel, and financial supports are needed.
Africa ; Ancylostomiasis ; Animals ; Babesiosis ; Centers for Disease Control and Prevention (U.S.) ; Cyclosporiasis ; Developing Countries ; Far East ; Financial Support ; Gnathostomiasis ; Humans ; Korea ; Larva Migrans ; Leishmaniasis, Cutaneous ; Leishmaniasis, Visceral ; Loiasis ; Malaria ; Myiasis ; Parasitic Diseases ; Plasmodium falciparum ; Schistosomiasis

Female ; Humans ; Infant ; Leishmaniasis, Visceral

Metronidazole is an antimicrobial agent widely used for the treatment of trichomoniasis, giardiasis, amebiasis, and anaerobic bacterial infections. It has been reported that metronidazole-induced neurotoxicity is associated with responsible lesions on brain MRI. We report 2 patients with metronidazole-induced neurotoxicity, who had no responsible lesions on brain MRI for their neurological deficits. The pathogenic mechanisms are discussed.
Amebiasis ; Bacterial Infections ; Brain ; Giardiasis ; Humans ; Magnetic Resonance Imaging ; Metronidazole

Amebiasis is an infectious disease caused by Entameba histolytica. Amebiasis remains an extremely important consideration in the differential diagnosis of diarrhea, especially when there is associated bleeding. It is imperative that appropriate studies to establish or exclude the diagnosis of amebiasis be carried out in all patients who present with a clinical and sigmoidoscopic picture of colitis, and that patients treated with metronidazole for amebiasis have adequate clinical and parasitological follow-up. We have experienced one case of intestinal amebiasis with protein losing enteropathy in 30month-old boy whose chief complaint was mild fever, vomiting and blood tinged diarrhea. His laboratory findings were compatible with protein losing enteropathy. The diagnosis of amebiasis is confirmed by observation of trophozoite of E. histolytica in the stools. A brief review with related literatures is also presented.
Amebiasis ; Colitis ; Communicable Diseases ; Diagnosis ; Diagnosis, Differential ; Diarrhea ; Dysentery, Amebic* ; Fever ; Follow-Up Studies ; Hemorrhage ; Humans ; Male ; Metronidazole ; Protein-Losing Enteropathies* ; Tolnaftate ; Trophozoites ; Vomiting

No abstract available.
Female ; Humans ; Leishmaniasis, Visceral* ; Lupus Erythematosus, Systemic*