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Published on: August 22, 2012
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Asymptomatic amebiasis diagnosed 10 years after exposure to the pathogen.
Takayuki Yamada1, Kunihiro Hamada2
1Internal Medicine Asunaro Clinic Takasaki City Japan.
Journal of General and Family Medicine
|July 8, 2022
Summary
A colonoscopy for colorectal cancer screening unexpectedly found multiple Entamoeba trophozoites in a patient's cecum. This finding highlights the importance of considering parasitic infections during endoscopic evaluations.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Parasitology
Background:
- Colorectal cancer screening via colonoscopy is a routine procedure for individuals over 40.
- The cecum, the beginning of the large intestine, is a common site for colorectal pathology.
- Parasitic infections can present with varied gastrointestinal symptoms or be asymptomatic.
Observation:
- During a total colonoscopy for colorectal cancer screening, multiple cecal erosions were observed.
- Biopsy samples were taken from the affected areas of the cecum.
Findings:
- Microscopic examination of biopsy specimens revealed the unexpected presence of multiple Entamoeba trophozoites.
- Entamoeba, a genus of amoeboid protozoa, can cause intestinal infections.
Implications:
- This case underscores the potential for incidental detection of parasitic infections during routine endoscopic procedures.
- Further investigation may be warranted to determine the clinical significance and management of Entamoeba in this context.
- Consideration of Entamoeba should be included in the differential diagnosis for unexplained cecal erosions found during colonoscopy.
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