title: Fulminant amoebic enteritis that developed in the perinatal period.
abstract: We present a case of a 30-year-old postpartum woman who delivered by caesarean section at 34 weeks. On postoperative day 9, she was admitted to our hospital in shock. Emergency abdominal surgery was performed. Massive purulent ascites collected in the abdominal cavity and was associated with intestinal necrosis, which extended from the ascending colon to one-third of the descending colon. The necrotic lesion was excised, and an artificial anus was constructed at the ileum end. A histological finding on the 15th day indicated the possibility of amoebic enteritis, and the patient was started on metronidazole therapy. The diarrhoea improved dramatically after metronidazole treatment was started. The patient was able to walk unassisted on the 45th day and was subsequently discharged. Amoebic enteritis has been thought to be epidemic in developing countries, but today, the incidence of amoebic enteritis as a sexually transmitted disease is increasing in developed countries.
authors.affiliation: Department of Emergency, Senshu Critical Care Medical Center, Izumisano, Osaka, Japan.
authors.forename: Mayako
authors.initials: M
authors.lastname: Goto
authors.affiliation: Department of Emergency, Senshu Critical Care Medical Center, Izumisano, Osaka, Japan.
authors.forename: Yasuaki
authors.initials: Y
authors.lastname: Mizushima
authors.affiliation: Department of Emergency, Senshu Critical Care Medical Center, Izumisano, Osaka, Japan.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Matsuoka
mesh_terms: D000328:Adult; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D003106:Colon / Q000473:pathology*; D019049:Developed Countries; D004404:Dysentery, Amebic / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D004751:Enteritis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007082:Ileum; D008795:Metronidazole / Q000627:therapeutic use; D009336:Necrosis; D049590:Postpartum Period; D011247:Pregnancy; D011248:Pregnancy Complications; D012749:Sexually Transmitted Diseases
chemical_list: D000981:Antiprotozoal Agents; D008795:Metronidazole