A case of amebic colitis in a renal-transplant recipient / 대한내과학회지
Korean Journal of Medicine
;
: S131-S134, 2009.
Article
in Korean
| WPRIM
| ID: wpr-223781
ABSTRACT
Intestinal amoebiasis is caused by the protozoan Entamoeba histolytica. Amoebic colitis is usually acquired by ingesting contaminated food or water, but it can be associated with cell-mediated immunosuppression in organ-transplant recipients. We present a case of invasive amoebic colitis in a kidney-transplant recipient who was treated successfully with metronidazole and adjusted immunosuppressive therapy. The patient was a 49-year-old man who had undergone renal transplantation 15 years earlier. He complained of diarrhea accompanied by mild lower abdominal pain over five weeks, and the diagnosis of amoebic colitis was made with a colonoscopic biopsy. The colonoscopic findings showed multiple, round, scattered ulcerations throughout the colon, and trophozoites of E. histolytica were identified in the base of these ulcers. We treated his colitis with metronidazole and a reduction in immunosuppressive therapy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ulcer
/
Biopsy
/
Abdominal Pain
/
Immunosuppression Therapy
/
Kidney Transplantation
/
Colitis
/
Colon
/
Diarrhea
/
Dysentery, Amebic
/
Entamoeba histolytica
Type of study:
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2009
Type:
Article
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