Invasive parasitic infection with both intestinal and extraintestinal manifestations
Endemic worldwide, especially areas with poor sanitation
Populations at risk:
Travelers to, citizens...
Onset 1 wk to 1 mo postexposure
Acute diarrhea (nondysenteric colitis):
80% of cases
Occult blood in stool
Benign abdominal exam
Airway, breathing, circulation (ABCs)
IV 0.9% NS if signs of significant shock
Oral fluids if mild; IV if moderate/severe dehydration
Shock, sepsis, or peritonitis
Hypotension or tachycardia unresponsive to IV fluids
Children with >10% dehydration
Severe electrolyte imbalance
Patients unable to ...
Avoid antidiarrheal medications
Always give double therapy with both a systemic amebicidal (metronidazole, tinidazole, or chloroquine) plus an intestinal amebicidal (erythromycin, i...
Chavez-Tapia NC, Hernandez-Calleros J, Tellez-Avila FI, et al. Image-guided percutaneous procedure plus metronidazole versus metronidazole alone for uncomplicated amoebic liver a...
006.0 Acute amebic dysentery without mention of abscess
006.1 Chronic intestinal amebiasis without mention of abscess
006.9 Amebiasis, unspecified
006.8 Amebic infection of other sites
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