Misdiagnosed amoebic colitis leading to severe dysentery and necrotizing colitis--report of a case and review of the literature.
We present a case of amoebic colitis, misdiagnosed as inflammatory bowel disease and treated with corticosteroids, leading to severe necrotizing enterocolitis. We review the literature on the epidemiology, pathogenesis, diagnosis, and treatment of amoebic dysentery, with special emphasis on the association between immunosuppressive treatment and the development of severe invasive amoebiasis.
From the Department of Infectious Diseases, Aarhus University Hospital Skejby , Denmark.
Trine H
TH
Mogensen
Jens J
JJ
Christiansen
Martin V
MV
Eivindson
Carsten S
CS
Larsen
Anders
A
Tøttrup
D000305:Adrenal Cortex Hormones / Q000009:adverse effects; D000368:Aged; D000563:Amebicides / Q000627:therapeutic use; D003951:Diagnostic Errors; D004404:Dysentery, Amebic / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects; D015212:Inflammatory Bowel Diseases / Q000175:diagnosis* / Q000473:pathology; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use; D009336:Necrosis
D000305:Adrenal Cortex Hormones; D000563:Amebicides; D007166:Immunosuppressive Agents; D008795:Metronidazole