| A case of amebic colitis in a renal-transplant recipient |
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Hyun Ju Kim, Joon Seok Oh, Hwa Mock Lee, Yong Hun Shin, Yong Ki Park, Joong Kyung Kim, Il Seon Lee |
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| 신장이식 환자에서 발생한 아메바성 대장염 1예 |
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김현주, 오준석, 이화목, 신용훈, 박용기, 김중경, 이일선 |
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| Abstract |
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Intestinal amoebiasis is caused by the protozoan Entamoeba histolytica. Amoebic colitis is usually acquired by ingesting contaminated
food or water, but it can be associated with cell-mediated immunosuppression in organ-transplant recipients.
We present a case of invasive amoebic colitis in a kidney-transplant recipient who was treated successfully with metronidazole
and adjusted immunosuppressive therapy. The patient was a 49-year-old man who had undergone renal transplantation 15 years
earlier. He complained of diarrhea accompanied by mild lower abdominal pain over five weeks, and the diagnosis of amoebic colitis
was made with a colonoscopic biopsy. The colonoscopic findings showed multiple, round, scattered ulcerations throughout the colon,
and trophozoites of E. histolytica were identified in the base of these ulcers. We treated his colitis with metronidazole and a reduction
in immunosuppressive therapy. (Korean J Med 76:S131-S134, 2009) |
| Key Words:
Words: Amebic colitis; Renal transplantation |
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