Amoebiasis

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Clinical DescriptionAn infection caused by protozoan Entamoeba histolytica transmitted through food and drink contaminated with human faeces.

  • Clinical manifestations
    • Intestinal: amoebic dysentery
    • Hepatic: amoebic liver abscess

Clinical Features

SIGNS AND SYMPTOMS

  • Diarrhoea (dysentery) +/- fever
  • Abdominal pain
  • Right upper quadrant abdominal pain and jaundice in amoebic liver abscess

INVESTIGATIONS

  • Full blood count
  • Fresh wet stool analysis
  • Liver function test
  • Abdominal Ultrasound (if amoebic liver abscess suspected)

Treatment 

NON-PHARMACOLOGICAL

  • Health education on fecal disposal, hand washing and food hygiene.

PHARMACOLOGICAL

Intestinal Amoebiasis Adults:

  • Metronidazole 800mg 8 hourly for 5 days preferably after food.

Children:

  • Metronidazole 7.5 mg/kg 8 hourly for 5 days