INTESTINE Vol.23 No.2(2-7)

Theme Infectious diseases of the intestine
Title Amoebic colitis
Publish Date 2019/04
Author Akinari Takao Department of Gastroenterology, Tokyo Metropolitan Komagome Hospital
Author Koichi Koizumi Department of Gastroenterology, Tokyo Metropolitan Komagome Hospital
Author Taku Tabata Endoscopy, Tokyo Metropolitan Komagome Hospital
Author Satomi Shibata Department of Gastroenterology, Tokyo Metropolitan Komagome Hospital
Author Go Kuwata Department of Gastroenterology, Tokyo Metropolitan Komagome Hospital
Author Kimiaki Hattori Department of Gastroenterology, Tokyo Metropolitan Komagome Hospital
Author Shinichiro Horiguchi Pathology, Tokyo Metropolitan Komagome Hospital
[ Summary ] Amoebic colitis is caused by Entamoeba histolytica. Typical symptoms are chronic abdominal pain or hematochezia. Recently, amoebic colitis is more frequently seen in HIV infected or asymptomatic individuals. Characteristic endoscopic findings are multiple ulcers occurring in the cecum and/or rectum, and the presence of redness around ulcer and a dirty white film are useful in differential diagnosis. Metronidazole is very effective against amoebic colitis.
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