What is it about?
Amoebiasis in the colon can rapidly progress from being asymptomatic, to a simple amoebic dysentery, to a fulminant colitis, amoebic toxic megacolon, ischaemic necrosis, perforation and, finally, sepsis.
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Why is it important?
1-Amebic colitis can be misdiagnosed as inflammatory bowel disease . 2-the use of steroid on presumption of toxic megacolon can lead to toxic megacolon . 3- the use of Loperamide, for amoebic dysentery will increase the chance of developing fulminant amoebic colitis.
Perspectives
be aware of the possibility of this condition in any patient who presents with colitis and who either resides in or is returning from an endemic area
Dr imad Afram Jaboury
Read the Original
This page is a summary of: Re: Fulminant amoebic colitis and septic shock in a returning traveller, Australian and New Zealand Journal of Surgery, June 2019, Wiley,
DOI: 10.1111/ans.15257.
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