| ID | 378 |
|---|---|
| Name | AMOEBIC DYSENTERY (Please see in the section of common clinical problems.) |
| Cause | Protozoan parasite Entamoeba histolytica. |
| Signs Symptoms | Loose feces (poop), stomach pain, and stomach cramping. Amebic dysentery is a severe form of amebiasis associated with stomach pain, bloody stools (poop), and fever. Rarely, E. histolytica invades the liver and forms an abscess (a collection of pus). |
| Diagnosis | Key diagnostic factors diarrhea More key diagnostic factors Other diagnostic factors generalized abdominal pain right upper quadrant abdominal pain weight loss cough Other diagnostic factors |
| Investigations | 1st investigations to order stool antigen detection PCR or qPCR of stool or liver abscess pus for E histolytica DNA serum antibody test More 1st investigations to order Investigations to consider stool microscopy colonoscopy liver ultrasound CXR More investigations to consider |
| Management | Hydration and the use of metronidazole and/or tinidazole. These two agents are dosed as follows: Metronidazole dosing for adults is 500 mg orally every 6 to 8 hours for 7 to 14 days. Tinidazole adult dosing is 2 g orally each day for 3 days. |
| Introduction | Caused by the protozoan parasite Entamoeba histolytic |
| History | |
| Etiology | Caused by the protozoan parasite Entamoeba histolytic |
| Clinical Features | refer sign and symptoms |
| Preventions | Counsel Patients Careful handwashing with soap and water after using the toilet or handling soiled diapers and proper disposal of sewage is the most important way to prevent amebiasis. People with amebiasis should avoid sexual contact until the infection is treated and has cleared. |
| Treatment | See under management |
| Complications | Fulminant amoebic dysentery is often fatal. Other complications include perforation of the colon, colonic ulcers, amoeboma, or chronic carriage. |
| Prognosis | |
| Types | |
| Classification | |
| Observation | |
| Pathology |
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