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阿米巴性结肠炎:一系列反复漏诊的病例

Amoebic colitis: A case series of a recurring missed diagnosis.

作者信息

Abasszade Joshua Haron, Little Robert, Yeaman Fiona, Robertson Marcus, Bell Sally

机构信息

Department of Gastroenterology Monash Health Clayton Victoria Australia.

Department of Gastroenterology Alfred Health Melbourne Victoria Australia.

出版信息

JGH Open. 2020 Dec 22;5(3):404-407. doi: 10.1002/jgh3.12484. eCollection 2021 Mar.

DOI:10.1002/jgh3.12484
PMID:33732890
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7936621/
Abstract

, a pathogenic protozoan that causes amoebiasis, remains the second leading cause of death from parasitic infections worldwide. We present a case series of patients presenting to metropolitan tertiary gastroenterology units in Melbourne, Australia, highlighting the complexities of diagnosing amoebic colitis and the potential for misdiagnosis. These cases illustrate four key lessons in the identification of amoebic colitis: (i) obtaining a thorough travel and exposure history, (ii) having a high index of suspicion, (iii) understanding the limitations of available investigations, and (iv) being aware that amoebic colitis may masquerade as other common conditions.

摘要

作为引起阿米巴病的致病性原生动物,在全球范围内仍是寄生虫感染导致死亡的第二大主要原因。我们展示了一系列在澳大利亚墨尔本的大都市三级胃肠病科就诊的患者病例,突出了诊断阿米巴结肠炎的复杂性以及误诊的可能性。这些病例说明了识别阿米巴结肠炎的四个关键要点:(i)获取详尽的旅行和接触史,(ii)保持高度怀疑指数,(iii)了解现有检查的局限性,以及(iv)意识到阿米巴结肠炎可能伪装成其他常见病症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f89d/7936621/f05da40f275a/JGH3-5-404-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f89d/7936621/f05da40f275a/JGH3-5-404-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f89d/7936621/f05da40f275a/JGH3-5-404-g001.jpg

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本文引用的文献

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BMJ Case Rep. 2015 Nov 25;2015:bcr2015212102. doi: 10.1136/bcr-2015-212102.
2
Acute fulminant necrotizing amoebic colitis: a rare and fatal complication of amoebiasis: a case report.急性暴发性坏死性阿米巴结肠炎:一种罕见且致命的阿米巴病并发症:病例报告
Cases J. 2009 Sep 11;2:6557. doi: 10.4076/1757-1626-2-6557.
3
Amebic colitis: new insights into pathogenesis and treatment.阿米巴结肠炎:发病机制与治疗的新见解
Infect Chemother. 2024 Jun;56(2):230-238. doi: 10.3947/ic.2023.0099. Epub 2024 May 22.
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A Case of Entamoeba histolytica Liver Abscess in an Immigrant Patient.一名移民患者的溶组织内阿米巴肝脓肿病例
Cureus. 2024 Feb 9;16(2):e53902. doi: 10.7759/cureus.53902. eCollection 2024 Feb.
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Diversity and Plasticity of Virulent Characteristics of ..的毒力特征的多样性和可塑性
Trop Med Infect Dis. 2023 Apr 29;8(5):255. doi: 10.3390/tropicalmed8050255.
Curr Gastroenterol Rep. 2007 Oct;9(5):429-33. doi: 10.1007/s11894-007-0054-8.
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Amoebiasis: current status in Australia.阿米巴病:澳大利亚的现状
Med J Aust. 2007 Apr 16;186(8):412-6. doi: 10.5694/j.1326-5377.2007.tb00975.x.
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Clin Microbiol Rev. 2003 Oct;16(4):713-29. doi: 10.1128/CMR.16.4.713-729.2003.
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N Engl J Med. 2003 Apr 17;348(16):1565-73. doi: 10.1056/NEJMra022710.
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