| 호산구성 대장염으로 오인되어 스테로이드를 치료받은 아메바 결장염 1예 |
| 정은선ㆍ조윤주ㆍ안상봉ㆍ김성환ㆍ박영숙ㆍ이원미*ㆍ홍영옥* |
| 을지대학교 의과대학 내과학교실, *병리학교실 |
| A Case of Steroid Treated Amebic Colitis Misdiagnosed as Eosinophilic Colitis |
| Eun Sun Cheong, M.D., Yun Ju Jo, M.D., Sang Bong An, M.D., Seong Hwan Kim, M.D., Young Sook Park, M.D., Won Mi Lee, M.D.* and Young Ok Hong, M.D.* |
| Departments of Internal Medicine, *Pathology, Eulji University College of Medicine, Seoul, Korea |
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| Abstract |
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Some cases have reported that amebic colitis leads to serious complications that are caused by a misdiagnosis of an inflammatory bowel disease and consequential ill-managed steroid therapy. Therefore, it should be stressed that the differential diagnosis on such a case is very important. Eosinophilic colitis may reveal its presence as diarrhea, abdominal pain, ascites, and eosinophilic deposits in tissues. Therefore, it is highly necessary to make a differential diagnosis to distinguish eosinophilic colitis from other infectious or inflammatory bowel diseases. We report a case of amebic colitis, which was mistakenly diagnosed as eosinophilic colitis and a liver eosinophilic abscess in a young male who complained of bloody diarrhea and right upper quadrant pain. However, the misdiagnosed steroid therapy did not aggravate the progress of the amebic infection. (Korean J Gastrointest Endosc 2011;43:42-46) |
| Key Words:
Amoeba, Liver abscess, Steroids, Eosinophilic colitis |
| 주요어:
아메바, 아메바성 간농양, 스테로이드, 호산구성 대장염 |
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