title: Fulminant amebic colitis in an HIV-infected homosexual man.
abstract: We present a case of fulminant amebic colitis in a human immunodeficiency virus (HIV)-infected homosexual man. The patient developed colonic perforation over a short time despite empirical therapy with metronidazole, and underwent right hemicolectomy. Amebic colitis was pathologically diagnosed by identifying invasive trophozoites of Entamoeba in a surgical specimen. Amebic colitis is one of the important differential diagnoses of acute abdomen in HIV-infected patients and/or homosexual men, especially in East Asia. Although fulminant amebic colitis is a rare manifestation of amebiasis, early diagnosis and treatment are thought to be important to improve the outcome of this highly fatal complication.
authors.affiliation: Department of Internal Medicine, Tokyo Metropolitan Health and Medical Treatment Corporation Ohkubo Hospital, Japan. ishioka-sin@umin.org
authors.forename: Haruhiko
authors.initials: H
authors.lastname: Ishioka
authors.forename: Masami
authors.initials: M
authors.lastname: Umezawa
authors.forename: Shuji
authors.initials: S
authors.lastname: Hatakeyama
mesh_terms: D000006:Abdomen, Acute / Q000150:complications; D000328:Adult; D003937:Diagnosis, Differential; D004404:Dysentery, Amebic / Q000150:complications* / Q000175:diagnosis; D015658:HIV Infections / Q000150:complications*; D018451:Homosexuality, Male; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications; D007564:Japan; D008297:Male; D012307:Risk Factors