Challenging diagnosis of amebiasis in a non-endemic region: a clinical case

In Russia, amebiasis is sporadically registered mainly in the southern regions. An endemic area Republic of Dagestan. We describe a clinical case, which illustrates challenges diagnosis amebial colitis related to low awareness physicians parasitic diseases non-endemic A 38-year old female patient living Moscow was initially misdiagnosed with Crohn's disease. Erosive and ulcerative colonic lesions found at colonoscopy were interpreted by gastroenterologist as symptoms an inflammatory bowel No differential infections performed. Long (2 years) persistence despite treatment 5-aminosalicylic agents for suspected disease, absence any significant laboratory abnormalities no history travelling Asian countries reason subsequent additional diagnostic work-up. After finally diagnosed intestinal amebiasis, she treated metronidazole some positive effect decreased abdominal bloating growling. At control colonoscopy, there trend seen mucosa, healing ulcers without scarring. protozoan cysts more her feces. According recommendations, regularly specialist infectious gastroenterologist. Expansion outside regions points necessity perform wider work-up cases mucosal colonoscopy.