J Korean Pediatr Soc.  1997 Oct;40(10):1458-1464.

A Case of Intestinal Amebiasis with Protein Losing Enteropathy

Affiliations
  • 1Department of Pediatrics, Hanil General Hospital, Seoul, Korea.
  • 2Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea.

Abstract

Amebiasis is an infectious disease caused by Entameba histolytica. Amebiasis remains an extremely important consideration in the differential diagnosis of diarrhea, especially when there is associated bleeding. It is imperative that appropriate studies to establish or exclude the diagnosis of amebiasis be carried out in all patients who present with a clinical and sigmoidoscopic picture of colitis, and that patients treated with metronidazole for amebiasis have adequate clinical and parasitological follow-up. We have experienced one case of intestinal amebiasis with protein losing enteropathy in 30month-old boy whose chief complaint was mild fever, vomiting and blood tinged diarrhea. His laboratory findings were compatible with protein losing enteropathy. The diagnosis of amebiasis is confirmed by observation of trophozoite of E. histolytica in the stools. A brief review with related literatures is also presented.

Keyword

Intestinal amebiasis; Protein losing enteropathy

MeSH Terms

Amebiasis
Colitis
Communicable Diseases
Diagnosis
Diagnosis, Differential
Diarrhea
Dysentery, Amebic*
Fever
Follow-Up Studies
Hemorrhage
Humans
Male
Metronidazole
Protein-Losing Enteropathies*
Tolnaftate
Trophozoites
Vomiting
Metronidazole
Tolnaftate
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