Abstract
We present a case of amoebic colitis, misdiagnosed as inflammatory bowel disease and treated with corticosteroids, leading to severe necrotizing enterocolitis. We review the literature on the epidemiology, pathogenesis, diagnosis, and treatment of amoebic dysentery, with special emphasis on the association between immunosuppressive treatment and the development of severe invasive amoebiasis.
MeSH terms
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Adrenal Cortex Hormones / adverse effects
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Aged
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Amebicides / therapeutic use
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Diagnostic Errors
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Dysentery, Amebic / diagnosis*
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Dysentery, Amebic / pathology
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Humans
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Immunosuppressive Agents / adverse effects
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Inflammatory Bowel Diseases / diagnosis*
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Inflammatory Bowel Diseases / pathology
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Male
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Metronidazole / therapeutic use
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Necrosis
Substances
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Adrenal Cortex Hormones
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Amebicides
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Immunosuppressive Agents
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Metronidazole