Fulminant Amebic Enteritis in the Perinatal Period.


Journal

Internal medicine (Tokyo, Japan)
ISSN: 1349-7235
Titre abrégé: Intern Med
Pays: Japan
ID NLM: 9204241

Informations de publication

Date de publication:
15 Aug 2023
Historique:
medline: 18 8 2023
pubmed: 28 12 2022
entrez: 27 12 2022
Statut: ppublish

Résumé

Pregnancy is a known risk factor for amebic enteritis, which develops into potentially fatal fulminant amebic enteritis in some cases. We describe a case of a 27-year-old non-immunosuppressed pregnant woman with fulminant amebic enteritis complicated with cytomegalovirus enteritis. She improved with intensive care and intravenous metronidazole and ganciclovir but eventually required subtotal colectomy for intestinal stenosis. It is difficult to diagnose amebic enteritis, especially in a non-endemic area. Amebic enteritis must be considered as a differential diagnosis for refractory diarrhea with bloody stools in women in the perinatal period, even those without immunosuppression.

Identifiants

pubmed: 36575014
doi: 10.2169/internalmedicine.0839-22
pmc: PMC10484775
doi:

Substances chimiques

Metronidazole 140QMO216E
Ganciclovir P9G3CKZ4P5

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2341-2348

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Auteurs

Daisuke Azuma (D)

Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Japan.
Department of Gastroenterology, Yokohama City University Graduate School of Medicine, Japan.

Reiko Kunisaki (R)

Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Japan.
Department of Gastroenterology, Yokohama City University Graduate School of Medicine, Japan.

Tatsu Yukawa (T)

Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Japan.
Department of Gastroenterology, Yokohama City University Graduate School of Medicine, Japan.

Katsuki Yaguchi (K)

Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Japan.
Department of Gastroenterology, Yokohama City University Graduate School of Medicine, Japan.

Mamoru Watanabe (M)

Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Japan.
Department of Gastroenterology, Yokohama City University Graduate School of Medicine, Japan.

Shunsuke Shibui (S)

Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Japan.
Department of Gastroenterology, Yokohama City University Graduate School of Medicine, Japan.

Yoshinori Nakamori (Y)

Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Japan.
Department of Gastroenterology, Yokohama City University Graduate School of Medicine, Japan.

Junya Toyoda (J)

Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Japan.

Mikiko Tanabe (M)

Department of Diagnostic Pathology, Yokohama City University Medical Center, Japan.

Koki Maeda (K)

Department of Diagnostic Pathology, Yokohama City University Medical Center, Japan.

Yoshiaki Inayama (Y)

Department of Diagnostic Pathology, Yokohama City University Medical Center, Japan.

Hideaki Kimura (H)

Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Japan.

Shin Maeda (S)

Department of Gastroenterology, Yokohama City University Graduate School of Medicine, Japan.

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Classifications MeSH