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.
journal_name
J Korean Med Scijournal_title
Journal of Korean medical scienceauthors
Park SC,Jeon HM,Kim JS,Kim WW,Kim KW,Oh ST,Kim EK,Chang SK,Lee EJdoi
10.3346/jkms.2000.15.6.708keywords:
subject
Has Abstractpub_date
2000-12-01 00:00:00pages
708-11issue
6eissn
1011-8934issn
1598-6357journal_volume
15pub_type
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