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KMID : 0359020110430010042
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Korean Journal of Gastrointestinal Endoscopy
2011 Volume.43 No. 1 p.42 ~ p.45
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A Case of Steroid Treated Amebic Colitis Misdiagnosed as Eosinophilic Colitis
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Cheong Eun-Sun
Jo Yun-Ju
Ahn Sang-Bong
Kim Seong-Hwan
Park Young-Sook
Lee Won-Mi
Hong Young-Ok
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Abstract
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Some cases have reported that amebic colitis leads to serious complications that are caused by a misdiagnosis of an inflammatory bowel disease and consequential ill-managed steroid therapy. Therefore, it should be stressed that the differential diagnosis on such a case is very important. Eosinophilic colitis may reveal its presence as diarrhea, abdominal pain, ascites, and eosinophilic deposits in tissues. Therefore, it is highly necessary to make a differential diagnosis to distinguish eosinophilic colitis from other infectious or inflammatory bowel diseases. We report a case of amebic colitis, which was mistakenly diagnosed as eosinophilic colitis and a liver eosinophilic abscess in a young male who complained of bloody diarrhea and right upper quadrant pain. However, the misdiagnosed steroid therapy did not aggravate the progress of the amebic infection.
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KEYWORD
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Amoeba, Liver abscess, Steroids, Eosinophilic colitis
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