Endoscopic findings and lesion distribution in amebic colitis

Journal of Infection and Chemotherapy : Official Journal of the Japan Society of Chemotherapy
Noriyuki HorikiYoshiyuki Takei

Abstract

A retrospective cohort study was conducted in 55 symptomatic patients with amebic colitis that visited at St. Luke's International Hospital and Mie University Hospital from 1994 through 2013. To diagnose amebic colitis, 40 patients underwent total colonoscopy within 1 week after hospital visiting and before receiving any treatment. The percentage of characteristic endoscopic findings of amebic colitis including discrete ulcers or erosions with white or yellow exudates were 0% in terminal ileum, 93% in cecum, 28% in ascending, 25% in transverse, 15% in descending, 20% in sigmoid colon and 45% in rectum. The rectal lesions in 55% of patients with amebic colitis were nonspecific. The trophozoite identification rate by direct smear of intestinal tract washings performed during colonoscopy was 88%. The protozoan identification rate was 70% in biopsy specimens taken from the periphery of the characteristic discrete ulcers. Total colonoscopy should be considered for the diagnosis of amebic colitis.

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Citations

Jul 7, 2016·Case Reports in Rheumatology·Naoko KawabeYasuteru Muragaki
Jul 29, 2016·PLoS Neglected Tropical Diseases·Debbie-Ann Shirley, Shannon Moonah
Mar 16, 2016·The American Journal of Tropical Medicine and Hygiene·Masahiro IshikaneKazunori Oishi
Mar 12, 2020·The New England Journal of Medicine·Hacho B BohossianLawrence R Zukerberg
Jan 12, 2019·Canadian Journal of Gastroenterology & Hepatology·Micaella KantorChristopher Ochner
Oct 11, 2021·BMC Gastroenterology·Bing YueYe Zong

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