title: [Necrotizing amebic colitis].
abstract: We report a case of necrotizing amebic colitis in a 43 year-old patient, 10 years after a stay in Senegal, successfully treated by right hemicolectomy. Entamoeba histolytica were found in colon necrosis and amoebiasis serology was positive, leading to the diagnosis. The epidemiologic, physiopathologic, clinical and therapeutic features of this exceptional affection are described. A few cases have been previously reported in non endemic areas where pre-operative diagnosis is rarely made. In endemic areas, a conservative treatment by ileostomy and colonic lavage seems to reduce the death rate.
authors.affiliation: Département d'Hépatologie et de Gastroentérologie, Hôpital du Haut-Lévêque, Pessac.
authors.forename: D
authors.initials: D
authors.lastname: Béchade
authors.forename: R
authors.initials: R
authors.lastname: Beyssac
authors.forename: J M
authors.initials: JM
authors.lastname: Raymond
authors.forename: A
authors.initials: A
authors.lastname: de Mascarel
authors.forename: B
authors.initials: B
authors.lastname: Masson
authors.forename: M
authors.initials: M
authors.lastname: Amouretti
mesh_terms: D000328:Adult; D003082:Colectomy; D004404:Dysentery, Amebic / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D009336:Necrosis; D013997:Time Factors
vernacular_title: Colite amibienne nécrosante.