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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.

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

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