title: Primary cutaneous amebiasis with a fatal outcome.
abstract: We report a fatal case of disseminated amebiasis in a young African woman, which initially presented with an ulcerated cutaneous lesion on the left flank. The causative organism was confirmed by examination of a wet drop preparation from the ulcer discharge and by skin biopsy. The patient was not immunosuppressed and was treated unsuccessfully with metronidazole. Postmortem examination revealed the presence of intestinal amebiasis complicated by a liver abscess.
authors.affiliation: University of Notthingham, School of Molecular Medical Sciences, Division of Pathology, QMC, Nottingham, UK. waldaraji@aol.com
authors.forename: Wael Ismail
authors.initials: WI
authors.lastname: Al-Daraji
authors.forename: Ehab A
authors.initials: EA
authors.lastname: Husain
authors.forename: Mohammed
authors.initials: M
authors.lastname: Ilyas
authors.forename: Alistair
authors.initials: A
authors.lastname: Robson
mesh_terms: D000328:Adult; D000818:Animals; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D004404:Dysentery, Amebic / Q000188:drug therapy / Q000473:pathology; D004748:Entamoeba histolytica; D004749:Entamoebiasis / Q000188:drug therapy / Q000473:pathology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008101:Liver Abscess, Amebic / Q000188:drug therapy / Q000473:pathology; D008795:Metronidazole / Q000627:therapeutic use; D012876:Skin Diseases, Parasitic / Q000473:pathology*
chemical_list: D000981:Antiprotozoal Agents; D008795:Metronidazole