Amoebic Enterocolitis Mimicking Crohn’s Disease - Case Report
نویسنده
چکیده
To demonstrate the pitfalls in the diagnosis of intestinal amoebiasis we describe a case of amoebic enterocolitis with an atypical clinical presentation. In a patient with repeated rectal blood loss and no diarrhea, colonoscopy showed discontinuous ulcerative enterocolitis of the ileocecal region. Because of a high suspicion of Crohn’s disease a recipe of Entocort 9mg daily was handed out to him. Histological examination of the biopsies revealed the causative trophozoites of Entamoeba hystolitica, and the patient was then successfully treated with Metronidazole. Presumptive diagnosis based on a lesion’s appearance could be important for initial therapy but only objective data enable definitive diagnosis and specific therapy.
منابع مشابه
Isolated cutaneous Crohn’s disease: A case report
This case report describes a patient with cutaneous signs in the genital and peri-anal region suspicious of Crohn’s disease without any intestinal symptom or sign. Inflammatory bowel disease can be associated with some cutaneous signs. However, in this paper, we report a patient with isolated cutaneous Crohn’s disease which is very rare (less than 100 case reports across the world). Our patient...
متن کاملThe unusual presentation of genital Crohn’s disease in a patient with breast cancer: A case report
Cutaneous Crohn’s disease (CCD) is a relatively rare disease. Two-thirds of the affected patients are female with a mean age of onset of 35 years. CCD is divided into a genital type and an extra-genital type, each with their own unique different clinical manifestations. The usual presentation of genital Crohn’s disease (CD) is in the form of erythema and edema of the labia and scrotum. Here, we...
متن کاملAmoebic Cervicitis Mimicking Cervical Carcinoma: A Rare Presentation
Amoebiasis of the uterine cervix is an extremely rare entity and presentation as carcinoma cervix has only been reported once in the extensively searched English literature. It can clinically simulate cervical malignancy by virtue of surface papillomatous and overall ulcerated and necrotic appearance. We present a case of amoebic cervicitis in a 55-year old female which was suspected to be a...
متن کاملPigmented Bowens disease mimicking malignant Melanoma: A case report
Pigmented Bowens disease is an in situ squamous cell carcinoma, which is seldom reported in white patients. Herein we report a 20-year-old woman with type III skin, who had this lesion on the fourth finger of her right hand, similar to superficial malignant melanoma, clinically. Although dermoscopic evaluation could be helpful, correct diagnosis of non-melanotic origin is done by histological e...
متن کاملNeonatal Appendicitis: Difficult Diagnosis with Enterocolitis
The clinical presentation of appendicitis in the newborn is nonspecific. The diagnosis was always made after surgical exploration for acute abdominal findings mimicking necrotizing enterocolitis. We report the case of acute appendicitis in a newborn diagnosed intraoperatively after neonatal occlusion symptoms.
متن کامل