Department of Transportation & Logistics Management, National ChiaoTung University, Taipei, Taiwan.
Western Medicine Division, Lam Wah Ee Hospital, Penang, Malaysia.
J Int Med Res. 2020 May;48(5):300060520922379. doi: 10.1177/0300060520922379.
Amebiasis is a frequently occurring parasitic infection in South East Asia. We present a case of a 54-year-old man with right lower quadrant abdominal pain that persisted for longer than 1 year. He had been diagnosed with inflammatory bowel disease in Indonesia. His abdominal pain persisted, despite therapy, and he visited Malaysia for transnational medical advice. Abdominal ultrasound showed fatty liver, gallbladder polyps, and a small left renal stone. Colonoscopy showed multiple ulcers in the cecum and a histopathological examination confirmed amebic infection of the cecum. The colonic ulcers subsided after anti-amebic treatment. This case highlights the need to consider the differential diagnosis of amebic colitis in patients presenting with manifestations of inflammatory bowel disease, especially in patients who live in or have traveled to endemic areas.
阿米巴病是东南亚地区常见的寄生虫感染。我们报告了 1 例 54 岁男性患者，其右下腹痛持续 1 年以上。他在印度尼西亚被诊断为炎症性肠病。尽管进行了治疗，他的腹痛仍持续存在，并前往马来西亚寻求跨国医疗建议。腹部超声显示脂肪肝、胆囊息肉和左肾结石。结肠镜检查显示盲肠有多个溃疡，组织病理学检查证实盲肠有阿米巴感染。抗阿米巴治疗后结肠溃疡消退。本病例强调了在表现为炎症性肠病的患者中需要考虑阿米巴结肠炎的鉴别诊断，特别是在居住在或曾前往流行地区的患者中。
