Necrotizing amebic colitis in a child

Necrotizing amebic colitis (NAC) is a rare complication of intestinal amebiasis, and only a few cases have been reported in the literature. The outcome of NAC is dismal, particularly in children. We encountered a 3-year-old child who presented with bloody diarrhea, fever, toxemia, and peritonitis. At laparotomy the whole colon was found to be necrotic with several perforations. Histopathology of the resected colon showed features of NAC. This is a rare case of survival of a child with NAC involving the whole colon.