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Fulminant amebic colitis in a homosexual man
The American Journal of Gastroenterology
|March 1, 1986
Summary
Fulminant amebic colitis caused by Entamoeba histolytica led to fatal bowel perforation in a homosexual man. This case highlights the potential for invasive disease, challenging the notion of passive colonization in this population.
Area of Science:
- Infectious Diseases
- Gastroenterology
- Pathology
Background:
- Entamoeba histolytica is a protozoan parasite.
- Amebiasis is a common infection worldwide.
- Severe amebic colitis is rare, particularly in homosexual men.
Observation:
- A 35-year-old homosexual man presented with fulminant amebic colitis.
- Pathological examination revealed extensive colitis with amebic penetration of the bowel wall.
- The patient died due to bowel perforation.
Findings:
- This case demonstrates invasive Entamoeba histolytica infection.
- Pathology confirmed invasive amebic colitis and perforation.
- The patient's presentation challenges the concept of passive colonization.
Implications:
- Virulent strains of Entamoeba histolytica may pose a significant public health risk.
- Increased vigilance for invasive amebiasis in homosexual men is warranted.
- Further research into the pathogenicity of Entamoeba histolytica in specific populations is needed.