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A Case of Steroid Treated Amebic Colitis Misdiagnosed as Eosinophilic Colitis  

Cheong, Eun-Sun (Department of Internal Medicine, Eulji University College of Medicine)
Jo, Yun-Ju (Department of Internal Medicine, Eulji University College of Medicine)
An, Sang-Bong (Department of Internal Medicine, Eulji University College of Medicine)
Kim, Seong-Hwan (Department of Internal Medicine, Eulji University College of Medicine)
Park, Young-Sook (Department of Internal Medicine, Eulji University College of Medicine)
Lee, Won-Mi (Department of Pathology, Eulji University College of Medicine)
Hong, Young-Ok (Department of Pathology, Eulji University College of Medicine)
Publication Information
Clinical Endoscopy / v.43, no.1, 2011 , pp. 42-46 More about this Journal
Abstract
Some cases have reported that amebic colitis leads to serious complications that are caused by a misdiagnosis of an inflammatory bowel disease and consequential ill-managed steroid therapy. Therefore, it should be stressed that the differential diagnosis on such a case is very important. Eosinophilic colitis may reveal its presence as diarrhea, abdominal pain, ascites, and eosinophilic deposits in tissues. Therefore, it is highly necessary to make a differential diagnosis to distinguish eosinophilic colitis from other infectious or inflammatory bowel diseases. We report a case of amebic colitis, which was mistakenly diagnosed as eosinophilic colitis and a liver eosinophilic abscess in a young male who complained of bloody diarrhea and right upper quadrant pain. However, the misdiagnosed steroid therapy did not aggravate the progress of the amebic infection.
Keywords
Amoeba; Liver abscess; Steroids; Eosinophilic colitis;
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Times Cited By KSCI : 3  (Citation Analysis)
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