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A Follow-up Case of Amebic Dysentery by Colonofiberscopy M. Tada 1 , Y. Fujiyama 1 , S. Katoh 1 , Y. Kohli 1 , K. Matsuno 2 1Dept. of Internal Medicine, Kyoto Prefectural University of Medicine 2Dept. of Parasitology, Kyoto Prefectural University of Medicine pp.1091-1095
Published Date 1975/8/25
DOI https://doi.org/10.11477/mf.1403112352
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 Recently, with the diffusion of sanitary thought and remarkable advances of medicine, amebic dysentery has been rapidly decreasing in Japan. In 1973, only 8 cases of amebic dysentery were reported to Japanese Welfare Ministry.

 In this paper, a case of amebic dysentery, diagnosed and followed up by colonofiberscopy, was described, and the endoscopical findings of amebic dysentery was discussed, comparing with those of other colonic inflammatory diseases, especially colitis ulcerosa.

 The patient, a 54-year-old woman, suffered from bloody diarrhea and tenesmus, and she was admitted to our University hospital. Five days after the onset, the first endoscopy was performed, and multiple scattered aphta-like small erosions or shallow ulcers were observed on the rectal mucosa, but the intervening mucosa among them showed no gross pathological changes. By dye scattering method, they were clearly and distinctly observed, and on the surface of the intervening mucosa, minute mucosal appearances were clso clearly demonstrated. At the same time, biopsy examination was performed, and Entamoeba histolytica was histologically found in the coats of ulcers and identified as such parasitologically. On the 11 th day, the second endoscopy revealed typical amebic ulcers, 5~7 mm in diameter, with the edematous and inflammatory intervening mucosa at the same region. After the medical treatment, these ulcers and mucosal inflammation disappeared, and only multiple small ulcer scar formations, clearly demonstrated by dye scattering method, remained.


Copyright © 1975, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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