Fulminant Amoebic Colitis Associated with HIV Infection; Report of A Case
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- Ishiyama Satoshi
- Department of Surgery, Tokyo Metropolitan Komagome Hospital
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- Tsuruta Koji
- Department of Surgery, Tokyo Metropolitan Komagome Hospital
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- Takeichi Satoshi
- Department of Surgery, Tokyo Metropolitan Komagome Hospital
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- Takahashi Keiichi
- Department of Surgery, Tokyo Metropolitan Komagome Hospital
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- Mori Masae
- Department of Infectious Diseases, Tokyo Metropolitan Komagome Hospital
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- Imamura Akifumi
- Department of Infectious Diseases, Tokyo Metropolitan Komagome Hospital
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- Suganuma Akihiko
- Department of Infectious Diseases, Tokyo Metropolitan Komagome Hospital
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- Ajisawa Atsushi
- Department of Infectious Diseases, Tokyo Metropolitan Komagome Hospital
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- Negishi Masayoshi
- Department of Infectious Diseases, Tokyo Metropolitan Komagome Hospital
Bibliographic Information
- Other Title
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- HIV感染に合併した劇症型アメーバ性大腸炎の1救命例
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Abstract
A 37 year-old homosexual man admitted to our hospital with right lower abdominal pain and severe diarrhea in April 2002. Colonoscopy revealed extensive mucosal necrosis of the colon and rectum, and abdominal CT revealed multiple liver abscesses. As the serum test for anti-amoebic antibody was positive, we suspected amoebic colitis and amoebic liver abscesses. The patient was in a pre-immunodeficiency state, with a CD4 lymphocyte count of 220/ul. The abdominal pain suddenly worsened on the day after the admission, and a CT revealed free air in the abdominal cavity and massive ascites. An emergency operation was performed under the suspected diagnosis of colonic perforation caused by fulminant amoebic colitis. We recognized a perforation in the cecum, and a cecostomy was carried out at the site of this perforation. One year later, the cecostomy was closed. The incidence of amoebic colitis associated with HIV infection has been increasing in Japan during the last ten years. We wish to emphasize the importance of early diagnosis and proper treatment to prevent fulminant amoebiasis and death.
Journal
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- The Japanese Journal of Gastroenterological Surgery
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The Japanese Journal of Gastroenterological Surgery 41 (1), 135-140, 2008
The Japanese Society of Gastroenterological Surgery
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Keywords
Details 詳細情報について
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- CRID
- 1390282679894420224
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- NII Article ID
- 130004344759
- 110006546725
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- NII Book ID
- AN00192066
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- ISSN
- 13489372
- 03869768
- http://id.crossref.org/issn/03869768
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed