Japan
Case Report
A Case of Fulminant Amebic Colitis Diagnosed after Colonic Resection
Author(s): Tatsuya Ishii, Nobuhiro Takeuchi, Masanori Takada, Akihito Otsuka and Yusuke NomuraTatsuya Ishii, Nobuhiro Takeuchi, Masanori Takada, Akihito Otsuka and Yusuke Nomura
Here, we report a case of fulminant amebic colitis diagnosed after colonic resection in a 66-year-old male who visited our hospital complaining of prolonged fever and consistent pain in the right abdomen. The patient had neither watery nor bloody stool. Laboratory data revealed increased white blood cell counts (15,900 cells/μl) and high levels of C-reactive protein (10.3 mg/dl). Contrast enhanced computed tomography revealed remarkably hypertrophic and edematous lesions in the right-sided colon. Stool culture revealed no pathogens. The patient was suspected to have infectious colitis; thereafter, the antibiotic flomoxef sodium (3 g/day) was administered. Colonoscopy revealed a circumferential white coat and stripped mucosal lesions in the right-sided colon; thereafter, ischemic colitis or enterohemorrhagic Escherichia coli colitis was the differential diagnosis. When the general c.. Read More»
DOI:
10.4172/2165-7920.1000736
Journal of Clinical Case Reports received 1345 citations as per Google Scholar report