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Severe amoebic colitis in an HIV-infected male patient
  1. Ezekiel Wong Toh Yoon1,
  2. Masaharu Sumii2
  1. 1Hiroshima Kyoritsu Hospital, Hiroshima, Japan
  2. 2Hiroshima Kinen Hospital, Hiroshima, Japan
  1. Correspondence to Dr Ezekiel Wong Toh Yoon, easybs{at}

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A previously healthy Japanese man aged 67 years was admitted into our hospital after presenting with fever, abdominal pain and watery diarrhoea (occasionally bloody) for 2 weeks. At presentation, he had a fever of 38.9°C and diffuse abdominal tenderness. His white cell count was 7440/μL, C reactive protein 22.18 mg/dL, serum albumin 1.8 g/dL, potassium 2.9 mmol/L and blood urea nitrogen was 26.5 mg/dL. Abdominal CT revealed pancolitis with mild splenomegaly but no hepatic lesions. Stool analysis and culture was negative for pathogenic bacteria, Clostridium difficile and …

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