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Severe amoebic colitis in an HIV-infected male patient
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  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}hotmail.com

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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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