Entamoeba histolytica is a cosmopolitan pathogenic parasite. It is spread via the feco-oral route and, to a lesser extent, via sexual intercourse. We report a case of hepatic and intestinal amoebiasis in a 67-year-old man who had never travelled to an endemic area. Abdominal CT investigations detected two liver abscesses and chronic colitis. Positive amoebic serology and a positive PCR test for E. histolytica in the hepatic liquid and faeces confirmed the diagnosis. Curative metronidazole and tiliquinol-tilbroquinol were administered successfully. The patient had been contaminated through heterosexual intercourse with his healthy French female partner who was a carrier of the parasite. Though unusual, amoebiasis as a result of sexual transmission should be considered in non-endemic areas in people who have never travelled abroad, particularly in the presence of clinical symptoms such as liver abscesses or chronic diarrhoea.
- tropical medicine (infectious disease)
- liver disease
- sexual transmitted infections (bacterial)
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Contributors ACB carried out the literature search of sexual transmitted infection by Entamoeba histolytica cases and collected all the data so far published. She then worked with CM in writing down the paper. ASR and LP have read and helped in completing the final manuscript. LP was involved in the initial diagnosis and management of the patient and helped in completing the final manuscript. CM was involved in the management and follow-up of the patient and helped in writing and completing the final draft.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
Patient consent for publication Obtained
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