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결핵성 대장염, 궤양성 대장염 및 단순궤양 등으로 오인된 아메바성 대장염 3예

Three Cases of Amebic Colitis Misdiagnosed as T.B. Colitis, Ulcerative Colitis, or a Simple Ulcer

대한대장항문학회지 1999년 15권 1호 p.41 ~ 48
임석원 ( Lim Seok-Won ) - 송도병원 외과

김현식 ( Kim Hyun-Sik ) - 송도병원 외과
황도연 ( Hwang Do-Yeon ) - 송도병원 외과
김건욱 ( Kim Khun-Uk ) - 송도병원 외과
박원갑 ( Park Won-Kap ) - 송도병원 외과
이광렬 ( Lee Kwang-Ryul ) - 송도병원 외과
유정준 ( Yoo Jung-Jun ) - 송도병원 외과
노희정 ( No Hee-Jung ) - 송도병원 진단방사선과
이종균 ( Lee Jong-Kyun ) - 송도병원 외과

Abstract


Nowadays, inflammatory bowel disease, such as ulcerative colitis and Crohn’s disease, is increasing; however, infectious colitis, such as amebic colitis, is decreasing, so many doctorsare not apt to be interested in infectious colitis. In addition, recently amebic colitis has been relatively rare in Korea, and the colonoscopic and the pathologic findings of amebic colitis are very similar to those of other inflammatory bowel diseases. As a consequence, the diagnosis is very difficult if the cyst or the trophozoite of the ameba is not found in the stool examination or in the tissue pathology. The authors experienced three cases in which initial diagnoses of tuberculous colitis, ulcerative colitis, and a simple ulcer were made based on colonoscopic and X-ray findings. However a colonoscopic biopsy revealed a trophozoite form
of ameba in the tissue. Hence, a diagnosis of amebic colitis could be made with confidence. Based on these results, we insist that infectious colitis should be included in the differential diagnosis when making a diagnosis of inflammatory bowel disease. In addition, it is extremely important to consider all kinds of infectious colitis, such as amebic colitis.

키워드

Amebic colitis;Infectious colitis;Inflammatory bowel disease
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