title: [A rare cause of 2 unclear fatalities: undiagnosed acute and chronic amebiasis].
abstract: Two cases are reported of unexpected and unclarified death caused by an infection with Entamoeba histolytica. The first case concerned a German whose disease was not diagnosed during the asymptomatic phase (2 years' duration) or in the acute phase during the last 3 weeks before death. This is typical of the disease. In the final phase, he developed a hepatic abscess. Death occurred as a consequence of bilateral apoplexia in the adrenal glands. In the second case a Turk fell ill with gastralgia and diarrhea. Developing hepatic insufficiency with comsumptive coagulopathy, he died after 6 days. Intoxication and/or intolerance of fructose were assumed as tentative diagnoses. These two cases show clearly that even outside an endemic area, one has to reckon with the possibility of amebiasis.
mesh_terms: D000311:Adrenal Glands / Q000473:pathology; D000328:Adult; D000562:Amebiasis / Q000473:pathology*; D003645:Death, Sudden / Q000473:pathology*; D004749:Entamoebiasis / Q000473:pathology*; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology; D008099:Liver / Q000473:pathology; D008101:Liver Abscess, Amebic / Q000473:pathology; D008297:Male; D008318:Malpractice / Q000331:legislation & jurisprudence*; D013154:Spleen / Q000473:pathology
vernacular_title: Seltene Ursache zweier unklarer Todesfälle: Nicht erkannte akute und chronische Amöbiasis.