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