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Title: [A Dutchman from Mali with a perianal ulcer caused by cutaneous amoebiasis]
Author(s): Kroft, E.B.M. ; Warris, A. ; Jansen, L.E.; Crevel, R. van
Publication year: 2005
Source: Nederlands Tijdschrift voor Geneeskunde, vol. 149, iss. 6, (2005), pp. 308-311
ISSN: 0028-2162
Publication type: Article / Letter to editor

Please use this identifier to cite or link to this item : http://hdl.handle.net/2066/47384   http://hdl.handle.net/2066/47384

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Title alternative: Een Nederlander uit Mali met een perianaal ulcus veroorzaakt door cutane amoebiasis
Subject: EBP 3: Effective Primary Care and Public Health
N4i 1: Pathogenesis and modulation of inflammation
N4i 2: Invasive mycoses and compromised host
N4i 3: Poverty-related infectious diseases
NCEBP 13: Infectious diseases and international health
UMCN 4.1: Microbial pathogenesis and host defense
UMCN 4.2: Chronic inflammation and autoimmunity
Organization: Dermatology
Paediatrics
Internal Medicine
Journal title:
Nederlands Tijdschrift voor Geneeskunde
Volume: vol. 149
Issue: iss. 6
Page start: p. 308
Page end: p. 311
Abstract:
A 66-year-old Dutchman, living in Mali, presented with an extensive progressive perianal ulcer despite local and antibiotic treatment. Microscopic examination of the stool revealed Entamoeba histolytica/dispar cysts and phagocytosing trophozoites were seen in fresh scrapings of the ulcer, a diagnostic feature of infection with E. histolytica. The diagnosis was cutaneous amoebiasis and the patient was effectively treated with metronidazole and local debridements. Primary cutaneous amoebiasis is a rare disease. Diagnosis and treatment are relatively simple but lack of familiarity with the disease may lead to misdiagnosis or diagnosis at a late stage ofthe infection.

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