Cecal amebiasis mimicking inflammatory bowel disease

Autor: Chiao-Wen Cheng, Chian Sem Chua, Cheng-Min Feng
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Abdominal pain
medicine.medical_specialty
Medicine (General)
Colonoscopy
Case Report
Biochemistry
Inflammatory bowel disease
Gastroenterology
Diagnosis
Differential

03 medical and health sciences
Cecum
Colonic Diseases
0302 clinical medicine
R5-920
inflammatory bowel disease
Internal medicine
medicine
Humans
030212 general & internal medicine
intestinal amebiasis
Colonic Ulcer
Ulcer
Ultrasonography
medicine.diagnostic_test
business.industry
Gallbladder
Biochemistry (medical)
Fatty liver
Malaysia
abdominal pain
Cell Biology
General Medicine
Amebiasis
Middle Aged
medicine.disease
Inflammatory Bowel Diseases
digestive system diseases
medicine.anatomical_structure
030220 oncology & carcinogenesis
cecal ulcer
parasite
Dysentery
Amebic

Differential diagnosis
medicine.symptom
business
Amebic infection
Zdroj: Journal of International Medical Research, Vol 48 (2020)
The Journal of International Medical Research
ISSN: 1473-2300
Popis: Amebiasis is a frequently occurring parasitic infection in South East Asia. We present a case of a 54-year-old man with right lower quadrant abdominal pain that persisted for longer than 1 year. He had been diagnosed with inflammatory bowel disease in Indonesia. His abdominal pain persisted, despite therapy, and he visited Malaysia for transnational medical advice. Abdominal ultrasound showed fatty liver, gallbladder polyps, and a small left renal stone. Colonoscopy showed multiple ulcers in the cecum and a histopathological examination confirmed amebic infection of the cecum. The colonic ulcers subsided after anti-amebic treatment. This case highlights the need to consider the differential diagnosis of amebic colitis in patients presenting with manifestations of inflammatory bowel disease, especially in patients who live in or have traveled to endemic areas.
Databáze: OpenAIRE