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A Case of Intestinal Amebiasis with Protein Losing Enteropathy

Journal of the Korean Pediatric Society 1997;40(10):1458-1464.
Published online October 15, 1997.
A Case of Intestinal Amebiasis with Protein Losing Enteropathy
Chan Young Pak1, Hee Taeg Kim1, Soo Young Choi1, Yun Jong Kang1, Yeon Chung Chung1, Jin Keun Ghang1, Jeong Kee Seo2
1Department of Pediatrics, Hanil General Hospital, Seoul, Korea
2Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea
단백 소실 장증을 동반한 아메바증 1례
박찬영1, 김희택1, 최수영1, 강윤종1, 정연정1, 장진근1, 서정기2
1한일병원 소아과
2서울대학교 의과대학 소아과학교실
Abstract
Amebiasis is an infectious disease caused by Entameba histolytica. Amebiasis remains an extremely important consideration in the differential diagnosis of diarrhea, especially when there is associated bleeding. It is imperative that appropriate studies to establish or exclude the diagnosis of amebiasis be carried out in all patients who present with a clinical and sigmoidoscopic picture of colitis, and that patients treated with metronidazole for amebiasis have adequate clinical and parasitological follow-up. We have experienced one case of intestinal amebiasis with protein losing enteropathy in 30month-old boy whose chief complaint was mild fever, vomiting and blood tinged diarrhea. His laboratory findings were compatible with protein losing enteropathy. The diagnosis of amebiasis is confirmed by observation of trophozoite of E. histolytica in the stools. A brief review with related literatures is also presented.
Key Words: Intestinal amebiasis, Protein losing enteropathy


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