[A Dutchman from Mali with a perianal ulcer caused by cutaneous amoebiasis].

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.

• 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)

Chemical References

• Antiprotozoal Agents

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