A man in his 50s was referred to the hospital with fever, right lower abdominal pain, and bloody diarrhea. Based on computed tomography images and characteristic varioliform erosions observed during the colonoscopic examination, the patient was diagnosed with fulminant amebic colitis. Intravenous metronidazole was administered immediately. After symptom improvement, a second colonoscopic examination revealed inflammation localized to the right hemicolon. A right colectomy was performed on the 75th hospital day, and the patient was discharged without further problems. Prompt antiamebic therapy based on early endoscopic diagnosis was effective in quelling colonic inflammation in a life-threatening case of acute fulminant amebic colitis. Moreover, colonoscopic reexamination was useful in determining the extent of inflammation and minimizing colon resection.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.11405/nisshoshi.119.540 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Utilizing metagenomic next-generation sequencing and phylogenetic analysis to identify a rare pediatric case of infection presenting with fulminant myocarditis.
Front Microbiol
November 2024
Department of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, China.
Background: (), a rare and typically lethal amoeba, most commonly causes primary amoebic meningoencephalitis (PAM). This case report describes an exceptionally rare presentation of fulminant myocarditis as the primary manifestation in a 6-year-old child, diverging from the typical neurological pathogenesis associated with infection. Beyond neurological afflictions, the child developed arrhythmias and cardiac failure, necessitating treatment with extracorporeal membrane oxygenation (ECMO).
View Article and Find Full Text PDFFulminant amoebic colitis: a challenging diagnosis for the surgeon.
J Surg Case Rep
November 2024
Department of General and Endoscopic Surgery, Dr. Manuel Gea González General Hospital, Calzada de Tlalpan 4800, Belisario Domínguez Sección XVI, Mexico City 14080, Mexico.
Fulminant amoebic colitis is a rare complication of amoebiasis that carries a high mortality rate. Its diagnosis is challenging and requires a high index of suspicion, and its early recognition is a priority to provide timely medical and surgical treatment. We present the case of a male patient who came to the emergency department with unspecific clinical presentation of abdominal pain, systemic inflammatory response and imaging study showing intestinal perforation of the right colon.
View Article and Find Full Text PDFDifficulty Confirming the Diagnosis of Amoebic Enteritis.
Tokai J Exp Clin Med
December 2024
Department of Gastroenterology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan.
Article Synopsis
- Amoebic dysentery is a serious disease in Japan, classified as Category 5, with around 1,000 annual cases, and about 10% are invasive strains.
- Most invasive cases show no symptoms, making them hard to detect, especially since a key blood test was discontinued in 2017.
- Proper diagnosis and treatment are crucial to avoid severe complications, such as ulceration and liver abscesses, which can occur with delayed care.
Double Trouble: The Perilous Intersection of Amoebic Colitis and Candida Infection Leading to Colonic Perforation.
Cureus
October 2024
Department of Surgical Gastroenterology, Sree Balaji Medical College and Hospital, Chennai, IND.
Amoebic colitis, a parasitic infection caused by , can lead to severe gastrointestinal symptoms. The clinical manifestations can vary widely, from being an asymptomatic carrier to experiencing severe colitis and even colonic perforation. Surgical treatment for fulminant amoebic colitis and colonic perforation should be carried out at the earliest.
View Article and Find Full Text PDFFulminant Amoebic Colitis.
Am J Trop Med Hyg
January 2025
Infectious Diseases Section, CES Clinic, Medellin, Colombia.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!