Joos L, Loosli J, Spichtin H P, Krause M
Medizinische Klinik, Thurgauisches Kantonsspital Münsterlingen, Basel.
Schweiz Med Wochenschr. 1999 Nov 6;129(44):1656-9.
We present two cases initially diagnosed as Crohn's disease which were treated with immunosuppressive drugs. In both patients the development of an amoebic liver abscess led to the correct diagnosis of amoebic dysentery. The pitfalls of the diagnosis of amoebic colitis and the possible influence of immunosuppression in the development of extraintestinal amoebiasis are discussed.
我们报告了两例最初被诊断为克罗恩病并接受免疫抑制药物治疗的病例。在这两名患者中,阿米巴肝脓肿的出现导致了阿米巴痢疾的正确诊断。本文讨论了阿米巴结肠炎诊断中的陷阱以及免疫抑制在肠外阿米巴病发生过程中可能产生的影响。