CHRONIC CAECAL AMEBIASIS MIMICKING FEATURES SUGGESTIVE OF ABDOMINAL TUBERCULOSIS AND CROHN’S DISEASE: A CASE REPORT

Main Article Content

Mohammad Humayun
Aliena Badshah
Imran Khan
Iqbal Haider
Shahzad Ahmad

Abstract

A 35 year old man presented with fever, abdominal pain, diarrhea andrecurrent oral ulceration for 2 years. Based on examination and investigations,initial diagnosis of abdominal tuberculosis (TB) was made, butthere was no response to anti-tuberculosis treatment (ATT) which leadsto search for other close differentials. Biopsy of right hemicolectomyspecimen raised strong suspicion of chronic caecal amebiasis. Patientwas started on amoebicidal medication for 3 weeks. He stayed symptomfree on follow up after 3 weeks with healing of the perianal abscess andmarked improvement in oral ulcers.

Article Details

How to Cite
Humayun, M., A. Badshah, I. Khan, I. Haider, and S. Ahmad. “CHRONIC CAECAL AMEBIASIS MIMICKING FEATURES SUGGESTIVE OF ABDOMINAL TUBERCULOSIS AND CROHN’S DISEASE: A CASE REPORT”. KHYBER MEDICAL UNIVERSITY JOURNAL, vol. 5, no. 2, June 2013, pp. 103-5, https://www.kmuj.kmu.edu.pk/article/view/11015.
Section
Case Report
Author Biographies

Mohammad Humayun

Incharge, medical unit D

KTH

Aliena Badshah, Khyber Medical University

Training Medical Officer (TMO),

Medical D Ward,

Khyber Teaching Hospital,

Peshawar.

References

Petri WA Jr, Singh U. Diagnosis and management

of amebiasis. Clin Infect Dis 1999;

: 1117-25.

De Villiers JP, Durra G. Case report:

amoebic abscess of the brain. Clin Radiol.

; 53: 307-9.

Thomas PD, Forbes A, Green J, Howdle

P, Long R, Playford R, et al. Guidelines for

the investigation of chronic diarrhoea, 2nd

edition. Gut 2003; 52 (Suppl 5): v1-15.

Boulware DR, Stauffer WM, Hendel-Paterson

BR. Maltreatment of Strongyloides

infection: Case series and worldwide

physicians-in training-survey. Am J Med

; 120: 545-8.

Kelly P, Menzies I, Crane R. Responses of

small intestinal architecture and functionover time to environmental factors in a

tropical population. Am J Trop Med Hyg

; 70: 412-19.

Owens SR, Greenson JK. The pathology

of malabsorption: Current concepts.

Histopathology 2007; 50: 64-82.

Majeed SK, Ghazanfar A, Ashraf J. Caecal

amoeboma simulating malignant neoplasia,

ileocaecal tuberculosis and Crohn’s

disease. J Coll Physicians Surg Pak 2003;

: 116-17.

Mendell GL, Benett JE, Douglas RE. Principles

and practice of infectious diseases:

th ed. New York: Churchill Livingstone;

Sharma D, Patel LK, Vaidya VV. Amoeboma

of ascending colon with multiple liver

abscesses. J Assoc Physicians India 2001;

: 579-80.

Ng DC, Kwok SY, Cheng Y, Chung CC, Li

MK. Colonic amoebic abscess mimicking

carcinoma of the colon. Hong Kong Med

J 2006; 12: 71-3.

Ray G, Iqbal N. Right colonic mass with

hepatic lesion-remember amoeboma?

Indian J Gastroenterol 2006; 25: 272.

Radovanovic ZL, Katic VV, Nagorni AV,

Zivkovic VV, Stankovic TD, Trenkic MS.

Clinical diagnostic problems associated

with caecal amoeboma: Case report and

review of the literature. Pathol Res Pract

; 203: 823-5.

Thompson D, Milford-Ward A, Whicher

JT. The value of acute phase protein measurements

in clinical practice. Annals Clin

Biochem 1992; 29(2): 123-31.

Knight CJ. The investigation of chronic

diarrhoea. Current Paediatr 2003; 13(2),

-94.

Ronco C, Inguggiato P, Bordoni V. Rasburicase

therapy in acute hyperuricemia and

renal dysfunction. Contrib

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