| Title: |
An underestimated sexually transmitted infection: amoebiasis |
| Authors: |
Billet, Anne Claire; Salmon Rousseau, Arnaud; Piroth, Lionel; Martins, Capucine |
| Source: |
BMJ Case Reports ; volume 12, issue 5, page e228942 ; ISSN 1757-790X |
| Publisher Information: |
BMJ |
| Publication Year: |
2019 |
| Description: |
Entamoeba histolytica is a cosmopolitan pathogenic parasite. It is spread via the feco-oral route and, to a lesser extent, via sexual intercourse. We report a case of hepatic and intestinal amoebiasis in a 67-year-old man who had never travelled to an endemic area. Abdominal CT investigations detected two liver abscesses and chronic colitis. Positive amoebic serology and a positive PCR test for E. histolytica in the hepatic liquid and faeces confirmed the diagnosis. Curative metronidazole and tiliquinol-tilbroquinol were administered successfully. The patient had been contaminated through heterosexual intercourse with his healthy French female partner who was a carrier of the parasite. Though unusual, amoebiasis as a result of sexual transmission should be considered in non-endemic areas in people who have never travelled abroad, particularly in the presence of clinical symptoms such as liver abscesses or chronic diarrhoea. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1136/bcr-2018-228942 |
| Availability: |
https://doi.org/10.1136/bcr-2018-228942; https://syndication.highwire.org/content/doi/10.1136/bcr-2018-228942 |
| Accession Number: |
edsbas.C83A3E29 |
| Database: |
BASE |