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阿米巴性肠炎:14例临床病理分析及文献复习

Amoebic enteritis: A clinicopathological analysis of 14 cases and literature review.

作者信息

Wang Lining, Kong Linghong, Jiao Yang, Li Jun, Zhang Xinpeng, Xue Huizhong, Liu Xiaogang

机构信息

Department of Pathology, Beijing Chuiyangliu Hospital, Beijing 100022, China.

Department of Gastroenterology, Beijing Chuiyangliu Hospital, Beijing 100022, China.

出版信息

Parasites Hosts Dis. 2025 May;63(2):168-173. doi: 10.3347/PHD.24081. Epub 2025 May 26.

DOI:10.3347/PHD.24081
PMID:40452278
Abstract

Amoebic enteritis is often misdiagnosed or overlooked due to its nonspecific clinical presentation. This study presents a comprehensive clinicopathological analysis of 14 confirmed cases of amoebic enteritis, examining their clinical manifestations, histopathological features, and responses to treatment. Periodic acid-Schiff and hexamine silver stains were employed to aid in diagnosis. A review of the relevant literature is also included to improve recognition and diagnostic accuracy of this uncommon but clinically significant condition.

摘要

阿米巴肠炎常因其非特异性临床表现而被误诊或漏诊。本研究对14例确诊的阿米巴肠炎病例进行了全面的临床病理分析,研究了其临床表现、组织病理学特征及治疗反应。采用过碘酸-希夫染色和六胺银染色辅助诊断。还纳入了相关文献综述,以提高对这种罕见但具有临床意义疾病的认识和诊断准确性。

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Amoebic enteritis: A clinicopathological analysis of 14 cases and literature review.阿米巴性肠炎:14例临床病理分析及文献复习
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本文引用的文献

1
Intestinal Tuberculosis: A Diagnostic Challenge.肠结核:一项诊断挑战。
Cureus. 2021 Feb 1;13(2):e13058. doi: 10.7759/cureus.13058.
2
Intestinal Tuberculosis and Crohn's Disease is Always a Diagnostic Challenge: A Case Report and Review of the Literature on the Importance of Fecal Mycobacterial Cultures and the Limitations of Latent Infection Testing.肠结核与克罗恩病始终是诊断难题:一例病例报告及关于粪便分枝杆菌培养重要性与潜伏感染检测局限性的文献综述
Cureus. 2019 Sep 18;11(9):e5689. doi: 10.7759/cureus.5689.
3
Crosstalk between Entamoeba histolytica and the human intestinal tract during amoebiasis.
溶组织内阿米巴与人类肠道在阿米巴病期间的串扰。
Parasitology. 2019 Aug;146(9):1140-1149. doi: 10.1017/S0031182017002190. Epub 2017 Dec 7.
4
3rd European Evidence-based Consensus on the Diagnosis and Management of Crohn's Disease 2016: Part 1: Diagnosis and Medical Management.3 欧盟克罗恩病诊断与管理循证共识 2016:第 1 部分:诊断与医学管理。
J Crohns Colitis. 2017 Jan;11(1):3-25. doi: 10.1093/ecco-jcc/jjw168. Epub 2016 Sep 22.
5
Inflammatory Bowel Disease.炎症性肠病。
Dtsch Arztebl Int. 2016 Feb 5;113(5):72-82. doi: 10.3238/arztebl.2016.0072.
6
Capsule Endoscopy for Crohn's Disease: Current Status of Diagnosis and Management.胶囊内镜在克罗恩病中的应用:诊断与管理现状
Gastroenterol Res Pract. 2016;2016:8236367. doi: 10.1155/2016/8236367. Epub 2015 Dec 27.
7
Clinical manifestations and endoscopic findings of amebic colitis in a United States-Mexico border city: a case series.美国-墨西哥边境城市阿米巴结肠炎的临床表现及内镜检查结果:病例系列
BMC Res Notes. 2015 Dec 14;8:781. doi: 10.1186/s13104-015-1787-3.
8
The differentiation of amebic colitis from inflammatory bowel disease on endoscopic mucosal biopsies.通过内镜下黏膜活检鉴别阿米巴结肠炎与炎症性肠病。
Indian J Pathol Microbiol. 2015 Oct-Dec;58(4):427-32. doi: 10.4103/0377-4929.168880.
9
Intestinal amebae.肠道阿米巴
Clin Lab Med. 2015 Jun;35(2):393-422. doi: 10.1016/j.cll.2015.02.009. Epub 2015 Apr 4.
10
Endoscopic findings and lesion distribution in amebic colitis.阿米巴结肠炎的内镜检查结果及病变分布
J Infect Chemother. 2015 Jun;21(6):444-8. doi: 10.1016/j.jiac.2015.02.004. Epub 2015 Feb 12.