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Toxic amebic colitis coexisting with intestinal tuberculosis.
J Korean Med Sci. 2000 Dec; 15(6):708-11.JK

Abstract

A patient with a fulminant amebic colitis coexisting with intestinal tuberculosis had a sudden onset of crampy abdominal pain, mucoid diarrhea, anorexia, fever and vomiting with signs of positive peritoneal irritation. Fulminant amebic colitis occurring together with intestinal tuberculosis is an uncommon event and may present an interesting patho-etiological relationship. The diagnosis was proven by histopathologic examination of resected specimen. Subtotal colectomy including segmental resection of ileum, about 80 cm in length, followed by exteriorization of both ends, was performed in an emergency basis. Despite all measures, the patient died on the sixth postoperative day. The exact relationship of fulminant amebic colitis and intestinal tuberculosis is speculative but the possibility of a cause and effect relationship exists. Fulminant amebic colitis may readily be confused with other types of inflammatory bowel disease, such as idiopathic ulcerative colitis, Crohn's disease, perforated diverticulitis and appendicitis with perforation. This report draws attention to the resurgence of tuberculosis and amebiasis in Korea, and the need for the high degree of caution required to detect it.

Authors+Show Affiliations

Department of Surgery, St. Mary's Hospital College of Medicine, The Catholic University of Korea, Seoul.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

11194200

Citation

Park, S C., et al. "Toxic Amebic Colitis Coexisting With Intestinal Tuberculosis." Journal of Korean Medical Science, vol. 15, no. 6, 2000, pp. 708-11.
Park SC, Jeon HM, Kim JS, et al. Toxic amebic colitis coexisting with intestinal tuberculosis. J Korean Med Sci. 2000;15(6):708-11.
Park, S. C., Jeon, H. M., Kim, J. S., Kim, W. W., Kim, K. W., Oh, S. T., Kim, E. K., Chang, S. K., & Lee, E. J. (2000). Toxic amebic colitis coexisting with intestinal tuberculosis. Journal of Korean Medical Science, 15(6), 708-11.
Park SC, et al. Toxic Amebic Colitis Coexisting With Intestinal Tuberculosis. J Korean Med Sci. 2000;15(6):708-11. PubMed PMID: 11194200.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Toxic amebic colitis coexisting with intestinal tuberculosis. AU - Park,S C, AU - Jeon,H M, AU - Kim,J S, AU - Kim,W W, AU - Kim,K W, AU - Oh,S T, AU - Kim,E K, AU - Chang,S K, AU - Lee,E J, PY - 2001/2/24/pubmed PY - 2001/5/1/medline PY - 2001/2/24/entrez SP - 708 EP - 11 JF - Journal of Korean medical science JO - J Korean Med Sci VL - 15 IS - 6 N2 - A patient with a fulminant amebic colitis coexisting with intestinal tuberculosis had a sudden onset of crampy abdominal pain, mucoid diarrhea, anorexia, fever and vomiting with signs of positive peritoneal irritation. Fulminant amebic colitis occurring together with intestinal tuberculosis is an uncommon event and may present an interesting patho-etiological relationship. The diagnosis was proven by histopathologic examination of resected specimen. Subtotal colectomy including segmental resection of ileum, about 80 cm in length, followed by exteriorization of both ends, was performed in an emergency basis. Despite all measures, the patient died on the sixth postoperative day. The exact relationship of fulminant amebic colitis and intestinal tuberculosis is speculative but the possibility of a cause and effect relationship exists. Fulminant amebic colitis may readily be confused with other types of inflammatory bowel disease, such as idiopathic ulcerative colitis, Crohn's disease, perforated diverticulitis and appendicitis with perforation. This report draws attention to the resurgence of tuberculosis and amebiasis in Korea, and the need for the high degree of caution required to detect it. SN - 1011-8934 UR - https://www.unboundmedicine.com/medline/citation/11194200/Toxic_amebic_colitis_coexisting_with_intestinal_tuberculosis_ L2 - https://jkms.org/DOIx.php?id=10.3346/jkms.2000.15.6.708 DB - PRIME DP - Unbound Medicine ER -