[A Dutchman from Mali with a perianal ulcer caused by cutaneous amoebiasis].
A 66-year-old Dutchman, living in Mali, presented with an extensive progressive perianal ulcer despite local and antibiotic treatment. Microscopic examination of the stool revealed Entamoeba histolytica/dispar cysts and phagocytosing trophozoites were seen in fresh scrapings of the ulcer, a diagnostic feature of infection with E. histolytica. The diagnosis was cutaneous amoebiasis and the patient was effectively treated with metronidazole and local debridements. Primary cutaneous amoebiasis is a rare disease. Diagnosis and treatment are relatively simple but lack of familiarity with the disease may lead to misdiagnosis or diagnosis at a late stage ofthe infection.
Kroft
E B M
EB
Universitair Medisch Centrum St Radboud, Postbus 9101, 6500 HB Nijmegen.
Warris
A
A
Jansen
L E
LE
van Crevel
R
R
D000368:Aged; D000818:Animals; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004748:Entamoeba histolytica / Q000302:isolation & purification*; D004749:Entamoebiasis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D005401:Fissure in Ano / Q000469:parasitology* / Q000473:pathology; D006801:Humans; D008297:Male; D008302:Mali; D009426:Netherlands / Q000208:ethnology; D010481:Perianal Glands / Q000469:parasitology / Q000473:pathology; D016896:Treatment Outcome
D000981:Antiprotozoal Agents