Shimada Shinya, Mizumoto Takao, Nishioka Ryoko, Fukami Kensaku, Kuramoto Masafumi, Nomura Koichi, Aoki Norimitsu, Ogawa Michio
Department of Surgery, Yatsushiro Health Insurance General Hospital, 2-26 Matsuejo, Kumamoto 866-8660, Japan.
Surg Today. 2002;32(8):738-41. doi: 10.1007/s005950200139.
Fulminating colitis rarely develops as a complication of amebiasis; however, it is difficult to diagnose and treat, and associated with a very high mortality rate. We report herein the case of a 62-year-old man with superacute fulminant necrotizing amebic colitis who, despite treatment with aggressive surgery and antiamebic agents, died of multiple organ failure following sepsis on the 25th day after onset. The patient had no immmunosuppressive disorders and claimed that he had never had homosexual intercourse, or traveled to the tropics in recent years. Since the incidence of amebiasis is increasing in developed countries, including Japan, more attention should be focused on the fulminating nature of this disease.
暴发性结肠炎很少作为阿米巴病的并发症出现；然而，它难以诊断和治疗，且死亡率极高。我们在此报告一例62岁男性患有超急性暴发性坏死性阿米巴结肠炎的病例，该患者尽管接受了积极的手术治疗和抗阿米巴药物治疗，但在发病后第25天因败血症引发多器官功能衰竭死亡。该患者没有免疫抑制性疾病，且声称他从未有过同性恋行为，近年来也未曾前往热带地区。由于包括日本在内的发达国家阿米巴病的发病率正在上升，应更加关注这种疾病的暴发性本质。
