Abstract
Diarrhoea is a common presenting complaint to the Acute Medical Unit. We report a case of acute fulminant necrotizing amebic colitis in a 73 year old man with no recent travel history preceding his admission. Such cases are often difficult to diagnose and hence associated with a high mortality, unless treated promptly and appropriately. This case report highlights the importance of early diagnosis and prompt initiation of treatment.
[download-attachments container="div" style="list" display_icon="1" display_count="1" display__size="0"]
References
- Source: Health Protection Agency http://www.hpa.org.uk/Topics/InfectiousDiseases/InfectionsAZ/ Entamoeba Histolytica/GeneralInformation/(accessed May 2010)
- Morton TC, Neal RA, Sage M. Indigenous amoebiasis in Britain. Lancet. 1951; 1(6658): 766-769.
- Morton TC, Stamm WP, Seidelin R. Indigenous Amoebiasis: A Recent Outbreak in England. Br Med J. 1952; 2(4776): 114-116.
- Stanley SL. Amoebiasis. Lancet. 2003; 361: 1025-1034.
- Petri WA, Singh U; Diagnosis and management of amebiasis. Clinical Inf Dis 1999; 29: 1117-25.
- Braga L, Gomes ML, Da Silva MW, et al. Household epidemiology of Entamoeba histolytica infection in an urban community in Northeastern Brazil. Am J Trop Med Hyg 2001; 65: 268-271.
- Singh B, Moodley J, Ramdial PK; Fuliminant amebic colitis: a favourable outcome. Int Surg 2001; 86: 77-81.
- Shimada S, Mizumoto T, Nishioka R, et al; Acute fulminant necrotizing colitis caused by amoebiasis: Report of a case. Surg Today 2002; 32: 738-41.
- Roy Choudhury S, A. Sen AK; Necrotizing amebic colitis in a child. Pediatr Surg Int 2002; 18: 498-55.
- Chuah SK, Sheen IS, Changchien CS, et al; Risk factors associated with fulminant amebic colitis. J Formos Med Assoc 1996; 95(6): 446–451.
- Elhence IP, Agrawal BM, Sharma BD. Amebic necrosis of bowel. Int Surg 1979; 64(1): 57–61.
- Aristizabal H, Acevedo J, Botero M. Fulminant amebic colitis. World J Surg 1991; 15(2): 216–221.
- Takahashi T, Gamboa-Dominguez A, Gomez-Mendez TJ et al. Fulminant amebic colitis: Analysis of 55 cases. Dis Colon Rectum 1997; 40(11): 1362–1367.
- Stanley SL Jr. Amoebiasis. Lancet. 2003; 361: 1025–1034.
- Stuiver PC, Goud TJ. Corticosteroids and liver amoebiasis. Br Med J. 1978; 2: 394–395.
- Juniper K. Amoebiasis. Clin Gastroenterol. 1978; 7: 3–29.
- Pillai DR, Keystone JS, Sheppard DC et al. Entamoeba histolytica and Entamoeba dispar: epidemiology and comparison of diagnostic methods in a setting of nonendemicity. Clin Infect Dis. 1999; 29(5): 1315-8.
- Haque R, Kress K, Wood S et al. Diagnosis of pathogenic Entamoeba histolytica infection using a stool ELISA based on monoclonal antibodies to the galactose-specific adhesion. J Inf Dis. 1993; 167(1): 247.
- Pittman FE, El-Hashimi WK, Pittman JC. Studies of human amebiasis. II. Light and electron microscopic observations of colonic mucosa and exudate in acute amebic colitis. Gastroenterology 1973; 65(4): 588–603.
