An infant with cutaneous amebiasis of the vulva and amebic liver abscess is described. Epidemiologic investigations and serologic studies were crucial in establishing the diagnosis. The vulvar amebic ulcers responded dramatically to metronidazole therapy. Cutaneous amebiasis is a rare complication of Entamoeba histolytica infection which should be considered in the differential diagnosis of perineovulvar or penile ulcers. Cutaneous amebiasis may also occur on the abdominal wall surrounding a draining hepatic abscess, colostomy site, or laparotomy incision.
本文描述了一名患有外阴皮肤阿米巴病和阿米巴肝脓肿的婴儿。流行病学调查和血清学研究对确诊至关重要。甲硝唑治疗对外阴阿米巴溃疡有显著疗效。皮肤阿米巴病是溶组织内阿米巴感染的一种罕见并发症,在会阴-外阴或阴茎溃疡的鉴别诊断中应予以考虑。皮肤阿米巴病也可能发生在引流性肝脓肿周围的腹壁、结肠造口部位或剖腹手术切口处。