An atypical cause of right lower abdominal pain: amoebiasis, a family cluster
|Journal||Volume 84 - 2021|
|Issue||Fasc.2 - Case series|
|Author(s)||T. De Somer 1, D. Baert 1, M. Deceuninck 2, C. Van Steenkiste 1 3, D. Marichal 4, C. Gabriel 5, E. Vanderstraeten 1, P. Dewint 1 3|
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(1) Department of Gastroenterology and Hepatology, Maria Middelares Hospital, Buitenring Sint-Denijs 30, 9000 Gent, Belgium
(2) Department of Gastroenterology and Hepatology, Sint-Vincentius Hospital, Schutterijstraat 34, 9800 Deinze, Belgium
(3) Department of Gastroenterology and Hepatology, University Hospital Antwerp, Wilrijkstraat 10, 2650 Edegem, Belgium
(4) Department of Gastroenterology and Hepatology, Sint-Lucas Hospital Gent, Groenebriel 1, 9000 Gent, Belgium
(5) Department of Histopathology, Maria Middelares Hospital, Buitenring Sint-Denijs 30, 9000 Gent, Belgium
In this case report we present a family cluster of amoebiasis in a nonendemic region. A 46-year-old women, diagnosed with Crohn’s disease for which she received no maintenance therapy, was evaluated for the suspicion of a flare. At colonoscopy however, atypical findings for Crohn’s disease were seen. Histopathologic examination revealed micro-organisms compatible with amoebiasis. Interestingly, 4 years before this event she started a new relationship with a 38-year-old man who was diagnosed with liver-amoebiasis 3 months after the start of their relationship. On top of this, her 18-year-old daughter was diagnosed with amoebiasis 2 years after her diagnosis. The source of the infection remains unknown, but we speculate that the infection was transmitted feco-orally between the different members of this family. These cases illustrate that we should be aware of parasitological causes of colitis, especially in patients with atypical endoscopic images or when a close “relative” is diagnosed with amoebiasis.
Keywords: Amoebiasis, colitis, inflammatory bowel disease, colono-scopy, liver abscess.
|The authors declare that they have no conflict of interest.|
© Acta Gastro-Enterologica Belgica.