Surgery Today

, Volume 32, Issue 8, pp 738–741

Acute Fulminant Necrotizing Colitis Caused by Amebiasis: Report of a Case

  • Shinya Shimada
  • Takao Mizumoto
  • Ryoko Nishioka
  • Kensaku Fukami
  • Masafumi Kuramoto
  • Koichi Nomura
  • Norimitsu Aoki
  • Michio Ogawa

DOI: 10.1007/s005950200139

Cite this article as:
Shimada, S., Mizumoto, T., Nishioka, R. et al. Surg Today (2002) 32: 738. doi:10.1007/s005950200139

Abstract.

Fulminating colitis rarely develops as a complication of amebiasis; however, it is difficult to diagnose and treat, and associated with a very high mortality rate. We report herein the case of a 62-year-old man with superacute fulminant necrotizing amebic colitis who, despite treatment with aggressive surgery and antiamebic agents, died of multiple organ failure following sepsis on the 25th day after onset. The patient had no immmunosuppressive disorders and claimed that he had never had homosexual intercourse, or traveled to the tropics in recent years. Since the incidence of amebiasis is increasing in developed countries, including Japan, more attention should be focused on the fulminating nature of this disease.

Key words Amebic colitisNecrotizing colitisPanperitonitisSurgical treatmentMetronidazole

Copyright information

© Springer-Verlag 2002

Authors and Affiliations

  • Shinya Shimada
    • 1
  • Takao Mizumoto
    • 1
  • Ryoko Nishioka
    • 1
  • Kensaku Fukami
    • 1
  • Masafumi Kuramoto
    • 1
  • Koichi Nomura
    • 1
  • Norimitsu Aoki
    • 1
  • Michio Ogawa
    • 2
  1. 1.Department of Surgery, Yatsushiro Health Insurance General Hospital, 2-26 Matsuejo, Kumamoto 866-8660, JapanJP
  2. 2.Department of Surgery II, Kumamoto University School of Medicine, Kumamoto 860-8556, JapanJP