Patel A S, DeRidder P H
Department of Internal Medicine, William Beaumont Hospital, Royal Oak, MI 48072.
J Clin Gastroenterol. 1989 Aug;11(4):407-10. doi: 10.1097/00004836-198908000-00012.
Amebic colitis needs to be considered in the differential diagnosis of infectious colitis or inflammatory bowel disease (IBD). Misdiagnosing amebic colitis as idiopathic inflammatory disease may be fatal. Although stool studies remain the initial approach to diagnosis, the incidence of false-negatives associated with this method is high. We report two cases of amebic colitis presenting as inflammatory bowel disease in which the diagnosis of amebic colitis was made by serology. Neither patient had any risk factors for acquiring amebiasis. Paired serology for amebic infections (2-4 weeks apart) should be performed in patients being evaluated for infectious colitis and inflammatory bowel disease.
在感染性结肠炎或炎症性肠病（IBD）的鉴别诊断中，需要考虑阿米巴结肠炎。将阿米巴结肠炎误诊为特发性炎症性疾病可能是致命的。尽管粪便检查仍然是诊断的初始方法，但这种方法的假阴性发生率很高。我们报告了两例表现为炎症性肠病的阿米巴结肠炎病例，其中通过血清学诊断出阿米巴结肠炎。两名患者均无感染阿米巴病的危险因素。对于正在接受感染性结肠炎和炎症性肠病评估的患者，应进行成对的阿米巴感染血清学检查（间隔2 - 4周）。
