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Amoebic Enterocolitis Mimicking Crohns Disease - Case Report
Jan M. Vrolijk*
Department of Hepatology, Gastroenterology and Clinical Pathology, Rijnstate Hospital Arnhem, The Netherlands
- *Corresponding Author:
- Jan M. Vrolijk
Department of Hepatology
Gastroenterology and Clinical Pathology
Rijnstate Hospital Arnhem
The Netherlands
Tel: +3188880880
E-mail: jvrolijk@rijnstate.nl
Received date: October 12, 2015; Accepted date: April 27, 2016; Published date: April 29, 2016
Citation: Vrolijk JM (2016) Amoebic Enterocolitis Mimicking Crohn’s Disease - Case Report. J Gastrointest Dig Syst 6:422. doi:10.4172/2161-069X.1000422
Copyright: © 2016 Vrolijk JM. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
To demonstrate the pitfalls in the diagnosis of intestinal amoebiasis we describe a case of amoebic enterocolitis with an atypical clinical presentation. In a patient with repeated rectal blood loss and no diarrhea, colonoscopy showed discontinuous ulcerative enterocolitis of the ileocecal region. Because of a high suspicion of Crohn’s disease a recipe of Entocort 9mg daily was handed out to him. Histological examination of the biopsies revealed the causative trophozoites of Entamoeba hystolitica, and the patient was then successfully treated with Metronidazole. Presumptive diagnosis based on a lesion’s appearance could be important for initial therapy but only objective data enable definitive diagnosis and specific therapy.
