An atypical cause of right lower abdominal pain: amoebiasis, a family cluster
Autor: | T De Somer, D. Baert, Pieter Dewint, M Deceuninck, D Marichal, C Gabriel, C. Van Steenkiste, E Vanderstraeten |
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Rok vydání: | 2021 |
Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Adolescent media_common.quotation_subject Colonoscopy Disease Inflammatory bowel disease 03 medical and health sciences 0302 clinical medicine Maintenance therapy Crohn Disease Medicine Humans Amoebiasis Colitis media_common Daughter medicine.diagnostic_test business.industry Amebiasis Middle Aged medicine.disease Abdominal Pain 030220 oncology & carcinogenesis Dysentery Amebic 030211 gastroenterology & hepatology Female Human medicine business Liver abscess |
Zdroj: | Acta gastro-enterologica belgica |
ISSN: | 1784-3227 |
Popis: | In this case report we present a Family cluster of amoebiasis in a nonendemic region. A 46-year-old women, diagnosed with Crohn's disease for which she received no maintenance therapy, was evaluated for the suspicion of a flare. At colonuscopy however, atypical findings for Crohn's disease were seen. Histopathologic examination revealed micro-organisms compatible with amoebiasis. Interestingly, 4 years before this event she started a new relationship with a 38-year-old man who was diagnosed with liver-amoebiasis 3 months after the start of their start of their relationship. On top of this, her 18-year-old daughter was diagnosed with amoebiasis 2 years after her diagnosis. The source of the infection remains unknown, but we speculate that the infection was transmitted feco-orally between the different members of this family. These cases illustrate that we should be aware of parasitological causes of colitis, especially in patients with atypical endoscopic images or when a close "relative" is diagnosed with amoebiasis. |
Databáze: | OpenAIRE |
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