Amebiasis, Pediatric

Jason Y. Kim Reviewed 06/2017
 


Basics

Description

Clinical syndromes associated with Entamoeba histolytica infection 

Epidemiology

  • Fecal–oral transmission

  • Transmission also via contaminated water and food

  • The incubation period is typica...

Diagnosis

History

  • Intestinal disease may be asymptomatic or have mild symptoms such as abdominal discomfort, flatulence, constipation, and occasionally diarrhea.

  • Nondysenteric colitis is characterized b...

Treatment

Medication

First Line

  • Asymptomatic intestinal amebiasis: intraluminal agents

    • Iodoquinol is the drug of choice. The recommended dosage is 30–40 mg/kg/24 h (max, 1,950 mg) PO in 3 divided doses f...

Ongoing Care

Follow-up Recommendations

Patient Monitoring

  • Follow-up stool examination is always necessary to ensure eradication of intestinal amebae.

  • For amebic abscesses, drainage should be considered i...

Additional Reading

  • Bercu  TE, Petri  WA, Behm  JW. Amebic colitis: new insights into pathogenesis and treatment. Curr Gastroenterol Rep.  2007;9(5):429–423. [View Abstract]

  • Haque  R, Huston  CD, H...

Codes

ICD09

  • 006.9 Amebiasis, unspecified

  • 006.0 Acute amebic dysentery without mention of abscess

  • 006.3 Amebic liver abscess

  • 006.2 Amebic nondysenteric colitis

  • 006.4 Amebic lung abscess

  • 006.8 Amebic infectio...

FAQ

  • Q: How often does a liver abscess complicate intestinal amebiasis?

  • A: About 10% of children with intestinal amebiasis will develop a liver abscess.

  • Q: What is the best diagnostic study for a suspect...

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