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Combination Therapy for Intestinal Amebiasis Using an Anti‐amebic Drug and Total Parenteral Nutrition —Report of Two Cases—
Author(s) -
TERAI Shuji,
SAKAIDA Isao,
YASUNAGA Mitsuru,
OKITA Kiwamu,
SHINGAI Yasushi,
SAITO Mitsuru,
FURUTANI Harushige,
SHIGETA Kojiro,
INOUE Motoshige,
TAKESHIGE Motohiro
Publication year - 1993
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.1993.tb00599.x
Subject(s) - medicine , metronidazole , parenteral nutrition , malnutrition , diarrhea , entamoeba histolytica , gastroenterology , colitis , antibiotics , surgery , immunology , microbiology and biotechnology , biology
In this study we report on two cases of amebic colitis treated in our hospital. On admission both patients were in a severe state of malnutrition due to intermittent diarrhea which had continued for one month. Both patients suffered from amebic colitis presumably transmitted by homosexual intercourse. A definite diagnosis of amebic colitis was made from both fecal examination and colonoscopic biopsy. After the diagnosis was made, the patients were treated with metronidazole. This medication can eliminate Entamoeba histolytica, although it was insufficient for the treatment of the patients’malnutrition. Therefore we used total parenteral nutrition to treat their malnutrition. It was successful and resulted in their recovery and discharge. These two cases indicate that total parenteral nutrition therapy is useful for supporting the recovery of patients with amebiasis.