Korean J Gastrointest Endosc > Volume 43(1); 2011 > Article
Korean Journal of Gastrointestinal Endoscopy 2011;43(1): 42-46.
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
Abstract
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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