Cecal amebiasis mimicking inflammatory bowel disease

Amebiasis is a frequently occurring parasitic infection in South East Asia. We present a case of a 54-year-old man with right lower quadrant abdominal pain that persisted for longer than 1 year. He had been diagnosed with inflammatory bowel disease in Indonesia. His abdominal pain persisted, despite...

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Bibliographic Details
Published in:Journal of international medical research 2020-05, Vol.48 (5), p.300060520922379-300060520922379
Main Authors: Cheng, Chiao-Wen, Feng, Cheng-Min, Chua, Chian Sem
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Pain
Amebiasis - diagnosis
Amebiasis - physiopathology
Case Report
Cecum - metabolism
Colonic Diseases
Colonoscopy
Diagnosis, Differential
Dysentery, Amebic - diagnosis
Dysentery, Amebic - physiopathology
Humans
Inflammatory bowel disease
Inflammatory Bowel Diseases - diagnosis
Malaysia
Male
Middle Aged
Ulcer
Ulcers
Ultrasonography
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Summary:Amebiasis is a frequently occurring parasitic infection in South East Asia. We present a case of a 54-year-old man with right lower quadrant abdominal pain that persisted for longer than 1 year. He had been diagnosed with inflammatory bowel disease in Indonesia. His abdominal pain persisted, despite therapy, and he visited Malaysia for transnational medical advice. Abdominal ultrasound showed fatty liver, gallbladder polyps, and a small left renal stone. Colonoscopy showed multiple ulcers in the cecum and a histopathological examination confirmed amebic infection of the cecum. The colonic ulcers subsided after anti-amebic treatment. This case highlights the need to consider the differential diagnosis of amebic colitis in patients presenting with manifestations of inflammatory bowel disease, especially in patients who live in or have traveled to endemic areas.
ISSN:0300-0605
1473-2300
DOI:10.1177/0300060520922379