Kassahun W, Steinert M, Schwokowski C, Petzold A, Emmrich P
Klinik und Poliklinik für Allgemeinchirurgie, Chirurgische Onkologie und Thoraxchirurgie, Universität Leipzig.
Zentralbl Chir. 1997;122(3):197-200.
The large intestine reacts relatively monomorphically to different stimuli. From this differential-diagnostic problems may result. The history of a patient is described which could be pursued clinically over 12 weeks and during the course of which the correction of the diagnosis ulcerative colitis into amoebic colitis was necessary. It is concluded that in every symptomatology of colitis bacterial and parasitologic examinations of the faeces should be performed primarily specially if there is a history of overseas travel. In these cases it must be also thought of spontaneous amoebic infections.
大肠对不同刺激的反应相对单一。由此可能会产生鉴别诊断问题。本文描述了一位患者的病史,该病史在临床上持续了12周,在此期间有必要将溃疡性结肠炎的诊断修正为阿米巴结肠炎。得出的结论是,对于每一例结肠炎症状,都应首先进行粪便的细菌学和寄生虫学检查,特别是如果有海外旅行史的话。在这些情况下,还必须考虑到自发性阿米巴感染。