Pediatric Infection and Vaccine
- 제14권1호
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- Pages.111-115
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- 2007
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- 2384-1079(pISSN)
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- 2384-1087(eISSN)
신생아에서 나타난 아메바증 1례
A case of amebiasis in the newborn period
- 박지영 (서울위생병원 소아과) ;
- 배승영 (서울위생병원 소아과) ;
- 김동환 (서울위생병원 소아과) ;
- 최창희 (서울위생병원 소아과) ;
- 조은영 (서울위생병원 소아과) ;
- 최정훈 (서울위생병원 소아과) ;
- 김선미 (서울위생병원 소아과)
- Park, Ji Young (Department of Pediatrics, Seoul Adventist Hospital) ;
- Bae, Seung Young (Department of Pediatrics, Seoul Adventist Hospital) ;
- Kim, Dong Hwan (Department of Pediatrics, Seoul Adventist Hospital) ;
- Choi, Chang Hee (Department of Pediatrics, Seoul Adventist Hospital) ;
- Cho, Eun Young (Department of Pediatrics, Seoul Adventist Hospital) ;
- Choi, Jeong Hoon (Department of Pediatrics, Seoul Adventist Hospital) ;
- Kim, Sun Mi (Department of Pediatrics, Seoul Adventist Hospital)
- 발행 : 2007.05.30
초록
본 저자들은 발열과 점액성 혈변을 보인 신생아에서 대변 현미경 검사를 통해 이질아메바를 진단하고 metronidazole 경구 투약 후 증상의 호전과 이질아메바의 제거를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.
Entamoeba histolytica (E. histolytica) is a worldwide protozoan parasite causing a wide rage of intestinal disease in human, including asymptomatic cyst carriage, acute diarrhea, fulminant dysentery, and chronic nondysenteric colitis. Extraintestinal amebiasis such as hepatic abscess also occurs. Spread of the infection occurs due to consumption of food and water that is contaminated with the cyst. Amebiasis is rarely reported in the newborn period. We report a case of a 6-day-old female newborn with watery diarrhea that progressed to bloody mucoid diarrhea with persistent fever. The fresh stool microscopic examination disclosed E. histolytica trophozoites. She was born of spontaneous vaginal delivery at 41 weeks of gestation after premature rupture of membrane. She was given breast-feeding after birth, then entered postpartum care center. Her mother's stool microscopic examination showed negative result. Infection might have occurred from giving sweetened water following birth or contamination of the baby's bottles at the postpartum care center. She was treated with oral metronidazole for 24 days.