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- Daisuke Azuma, Reiko Kunisaki, Tatsu Yukawa, Katsuki Yaguchi, Mamoru Watanabe, Shunsuke Shibui, Yoshinori Nakamori, Junya Toyoda, Mikiko Tanabe, Koki Maeda, Yoshiaki Inayama, Hideaki Kimura, and Shin Maeda.
- Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Japan.
- Intern. Med. 2023 Aug 15; 62 (16): 234123482341-2348.
AbstractPregnancy is a known risk factor for amebic enteritis, which develops into potentially fatal fulminant amebic enteritis in some cases. We describe a case of a 27-year-old non-immunosuppressed pregnant woman with fulminant amebic enteritis complicated with cytomegalovirus enteritis. She improved with intensive care and intravenous metronidazole and ganciclovir but eventually required subtotal colectomy for intestinal stenosis. It is difficult to diagnose amebic enteritis, especially in a non-endemic area. Amebic enteritis must be considered as a differential diagnosis for refractory diarrhea with bloody stools in women in the perinatal period, even those without immunosuppression.
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