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
Rok vydání: 2021
Předmět:
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