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Extraintestinal Amoebiasis in Women after 6(th) Day of Delivery

BACKGROUND: Extraintestinal amoebiasis is more common in countries with lower socioeconomic status. Complication related to amoebiasis is common in pregnant patients with malnutrition and others. Severe cases can be associated with high fatality rates. We would like to report a patient with a presum...

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Autores principales: Minwuyelet, Awoke, Aschale, Yibeltal, Ayenew, Solomon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8476250/
https://www.ncbi.nlm.nih.gov/pubmed/34589240
http://dx.doi.org/10.1155/2021/1395404
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author Minwuyelet, Awoke
Aschale, Yibeltal
Ayenew, Solomon
author_facet Minwuyelet, Awoke
Aschale, Yibeltal
Ayenew, Solomon
author_sort Minwuyelet, Awoke
collection PubMed
description BACKGROUND: Extraintestinal amoebiasis is more common in countries with lower socioeconomic status. Complication related to amoebiasis is common in pregnant patients with malnutrition and others. Severe cases can be associated with high fatality rates. We would like to report a patient with a presumptive diagnosis of extraintestinal amoebiasis who was on the 6th postpartum day after intrauterine fetal death (IUFD). Case Presentation. The patient was a 31 year-old female who was on 6th postpartum day after IUFD after the 9th month of amenorrhea. She presented with severe epigastric pain, hiccups, and bloody vomiting of ingested matter for 5 days. She also had right upper quadrat pain and fatigue. In addition, she had generalized body weakness and yellowish discoloration of the eyes for one week. Moreover, she had pruritus, fever, and a history of watery diarrhea 6 days ago which got subsided during the presentation. Laboratory investigation indicated leukocytosis and increased level of alkaline phosphatase and direct and total bilirubin. Trophozoite of E. histolytica was seen on stool microscope, negative for viral marker and Helicobacter pylori. Abdominal ultrasonography showed normal liver parenchyma and biliary system. She was treated onsite with 500 mg metronidazole and 500 mg ceftriaxone for five days and discharged with metronidazole 500 mg PO three times a day and cloxacillin 500 mg PO four times a day for 7 days. CONCLUSIONS: Extraintesinal amoebiasis can be resolved if it is diagnosed early and treated with metronidazole. Clinicians should not neglect amoebiasis in patients presenting with jaundice and right upper quadrant pain.
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spelling pubmed-84762502021-09-28 Extraintestinal Amoebiasis in Women after 6(th) Day of Delivery Minwuyelet, Awoke Aschale, Yibeltal Ayenew, Solomon Case Rep Gastrointest Med Case Report BACKGROUND: Extraintestinal amoebiasis is more common in countries with lower socioeconomic status. Complication related to amoebiasis is common in pregnant patients with malnutrition and others. Severe cases can be associated with high fatality rates. We would like to report a patient with a presumptive diagnosis of extraintestinal amoebiasis who was on the 6th postpartum day after intrauterine fetal death (IUFD). Case Presentation. The patient was a 31 year-old female who was on 6th postpartum day after IUFD after the 9th month of amenorrhea. She presented with severe epigastric pain, hiccups, and bloody vomiting of ingested matter for 5 days. She also had right upper quadrat pain and fatigue. In addition, she had generalized body weakness and yellowish discoloration of the eyes for one week. Moreover, she had pruritus, fever, and a history of watery diarrhea 6 days ago which got subsided during the presentation. Laboratory investigation indicated leukocytosis and increased level of alkaline phosphatase and direct and total bilirubin. Trophozoite of E. histolytica was seen on stool microscope, negative for viral marker and Helicobacter pylori. Abdominal ultrasonography showed normal liver parenchyma and biliary system. She was treated onsite with 500 mg metronidazole and 500 mg ceftriaxone for five days and discharged with metronidazole 500 mg PO three times a day and cloxacillin 500 mg PO four times a day for 7 days. CONCLUSIONS: Extraintesinal amoebiasis can be resolved if it is diagnosed early and treated with metronidazole. Clinicians should not neglect amoebiasis in patients presenting with jaundice and right upper quadrant pain. Hindawi 2021-09-20 /pmc/articles/PMC8476250/ /pubmed/34589240 http://dx.doi.org/10.1155/2021/1395404 Text en Copyright © 2021 Awoke Minwuyelet et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Minwuyelet, Awoke
Aschale, Yibeltal
Ayenew, Solomon
Extraintestinal Amoebiasis in Women after 6(th) Day of Delivery
title Extraintestinal Amoebiasis in Women after 6(th) Day of Delivery
title_full Extraintestinal Amoebiasis in Women after 6(th) Day of Delivery
title_fullStr Extraintestinal Amoebiasis in Women after 6(th) Day of Delivery
title_full_unstemmed Extraintestinal Amoebiasis in Women after 6(th) Day of Delivery
title_short Extraintestinal Amoebiasis in Women after 6(th) Day of Delivery
title_sort extraintestinal amoebiasis in women after 6(th) day of delivery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8476250/
https://www.ncbi.nlm.nih.gov/pubmed/34589240
http://dx.doi.org/10.1155/2021/1395404
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