All issues > Volume 40(10); 1997

Case Report

J Korean Pediatr Soc. 1997;40(10):1458-1464. Published online October 15, 1997.

A Case of Intestinal Amebiasis with Protein Losing Enteropathy

Chan Young CY Pak¹, Hee Taeg HT Kim¹, Soo Young SY Choi¹, Yun Jong YJ Kang¹, Yeon Chung YC Chung¹, Jin Keun JK Ghang¹, Jeong Kee JK Seo²

¹Department of Pediatrics, Hanil General Hospital, Seoul, Korea
²Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea

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.

Keywords :Intestinal amebiasis, Protein losing enteropathy