Abstract |
A 66-year-old Dutchman, living in Mali, presented with an extensive progressive perianal ulcer despite local and antibiotic treatment. Microscopic examination of the stool revealed Entamoeba histolytica/dispar cysts and phagocytosing trophozoites were seen in fresh scrapings of the ulcer, a diagnostic feature of infection with E. histolytica. The diagnosis was cutaneous amoebiasis and the patient was effectively treated with metronidazole and local debridements. Primary cutaneous amoebiasis is a rare disease. Diagnosis and treatment are relatively simple but lack of familiarity with the disease may lead to misdiagnosis or diagnosis at a late stage ofthe infection.
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Authors | E B M Kroft, A Warris, L E Jansen, R van Crevel |
Journal | Nederlands tijdschrift voor geneeskunde
(Ned Tijdschr Geneeskd)
Vol. 149
Issue 6
Pg. 308-11
(Feb 05 2005)
ISSN: 0028-2162 [Print] Netherlands |
Vernacular Title | Een nederlander uit mali met een perianaal ulcus veroorzaakt door cutane amoebiasis. |
PMID | 15730040
(Publication Type: Case Reports, English Abstract, Journal Article)
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Chemical References |
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Topics |
- Aged
- Animals
- Antiprotozoal Agents
(therapeutic use)
- Diagnosis, Differential
- Entamoeba histolytica
(isolation & purification)
- Entamoebiasis
(complications, diagnosis, drug therapy)
- Fissure in Ano
(parasitology, pathology)
- Humans
- Male
- Mali
- Netherlands
(ethnology)
- Perianal Glands
(parasitology, pathology)
- Treatment Outcome
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