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KMID : 0614620000360030398
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Korean Journal of Gastroenterology
2000 Volume.36 No. 3 p.398 ~ p.403
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Clinical Consequence of a Case of Amebic Colitis Which Was Managed with Steroid and Sulfasalazine
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1/2이준규/12Jun Kyu Lee
1/2석웅/1/2천재희/1/2김유선/1/2최일주/1/2김주성/1/2정현채/1/2송인성/1/2김정룡/12Woong Seok/12Jae Hee Cheon/12You Sun Kim/12Il Ju Choi/12Joo Sung Kim/12Hyun Chae Jung/12In Sung Song/12Chung Yong Kim
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Abstract
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-Abstract-
Many of water-borne infectious diseases are under control nowadays because of the
improvement of hygiene and sewage system, but some of them (e.g. amebic colitis) are
still endemic in developing countries. Since there is no definite method of diagnosis,
amebic colitis is often diagnosed too late or misdiagnosed as idiopathic inflammatory
bowel disease. There have been some reports that treatment with glucocorticoids or
immuno-suppressive agents may lead to catastrophic results in amebic colitis. We
experienced a 65-year-old man who showed somewhat different clinical consequences.
He had longstanding hematochezia with lower abdominal pain, and was misdiagnosed as
ulcerative colitis. Because his symptom continued over a year despite treatment with
glucocorticoids and sulfasalazine, total colectomy was considered. However, the diagnosis
of amebic colitis was made with repeated stool parasite examinations, colonoscopic
biopsy and serologic tests. He showed dramatic improvement after the antiamebic
therapy with metronidazole.
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