Případ amébové kolitidy s endoskopickými i histopatologickými rysy Crohnovy choroby

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Authors: Ondřej Fabián ¹; Milan Trojánek ²; Lenka Richterová ²; František Stejskal ²; Kamila Dundrová ³; Markéta Roznetinská ⁴; Josef Zámečník ¹
Authors‘ workplace: Department of Pathology and Molecular Medicine, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital ¹; Department of Infectious, Parasitic and Tropical Diseases, Na Bulovce Hospital, Prague ²; Department of Medical Microbiology, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital ³; Department of Internal Medicine, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital ⁴
Published in: Čes.-slov. Patol., 56, 2020, No. 2, p. 95-98
Category: Original Article

Overview

Amébová kolitida je v rozvojových oblastech běžnou parazitární infekcí. V západních zemích se s ní však setkáváme jen sporadicky. Klinická symptomatologie je obvykle necharakteristická, neinvazivní laboratorní testy bývají často falešně negativní a histopatologický nález může mimikovat řadu jiných onemocnění, zejména Crohnovu chorobu. Diagnostika je tak svízelná a nese s sebou vysoké riziko chybně stanovené diagnózy. Prezentujeme zde případ 53leté ženy, u které byla tato diagnóza stanovena až na základě mikroskopického obrazu.

Klíčová slova:

kolitida – Crohnova choroba – Entamoeba histolytica – histopatologie

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