Korean J Gastrointest Endosc.
2011 Jul;43(1):42-46.
A Case of Steroid Treated Amebic Colitis Misdiagnosed as Eosinophilic Colitis
- Affiliations
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- 1Department of Internal Medicine, Eulji University College of Medicine, Seoul, Korea. jyj1138@eulji.ac.kr
- 2Department of Pathology, Eulji University College of Medicine, Seoul, Korea.
Abstract
- 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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