Petridou Christina, Al-Badri Adnan, Dua Anjana, Dryden Matthew, Saeed Kordo
Microbiology Department, Hampshire Hospitals NHS Foundation Trust, Royal Hampshire County Hospital, Winchester, United Kingdom.
Pathology Department, Hampshire Hospitals NHS Foundation Trust, Royal Hampshire County Hospital, United Kingdom.
Infez Med. 2017 Sep 1;25(3):281-284.
A case of amoebic colitis and liver abscess is described in a previously fit 59-year old man who had been given the incorrect diagnosis of ulcerative colitis. His symptoms were so severe that a colectomy was being considered. The patient had a significant travel history including trips to Morocco, the Gambia and Cape Verde, putting him at risk of acquiring amoebic disease. However, this history was not ascertained until much later on in the disease process. The case highlighted crucial learning points including the importance of taking a lifelong travel history, the difficulties in telling ulcerative colitis and amoebic colitis apart both clinically and histopathologically, and the importance of sending multiple stool samples for parasitological microscopy analysis in patients being investigated for inflammatory bowel disease.
本文描述了一例阿米巴性结肠炎和肝脓肿病例，患者为一名59岁既往健康的男性，此前被误诊为溃疡性结肠炎。他的症状非常严重，以至于当时正在考虑进行结肠切除术。该患者有丰富的旅行史，包括前往摩洛哥、冈比亚和佛得角，这使他有感染阿米巴病的风险。然而，直到疾病进程的后期才查明这一病史。该病例突出了一些关键的经验教训，包括了解终生旅行史的重要性、在临床和组织病理学上区分溃疡性结肠炎和阿米巴性结肠炎的困难，以及在对炎症性肠病患者进行调查时，多次送检粪便样本进行寄生虫显微镜分析的重要性。
