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Amebiasis

ბოლო მიმოხილვა: 16 Aug 2025
ბოლო განახლება: 19 Aug 2025

შეჯამება

განსაზღვრება

ანამნეზი და გასინჯვა

关键诊断因素

  • diarrhea
完整详情

其他诊断因素

  • generalized abdominal pain
  • right upper quadrant abdominal pain
  • weight loss
  • cough
  • fever
  • altered mental status or limb weakness
  • dyspnea
  • guarding and rebound tenderness of the abdomen
  • jaundice
  • right lung decreased air entry and percussion note
完整详情

危险因素

  • exposure in endemic areas
  • institutionalization (particularly of people with intellectual disability)
  • men who have sex with men
  • oral-anal sexual contact
  • HIV infection, past or current syphilis infection
  • male gender
完整详情

诊断性检查

首要检查

  • stool microscopy
  • PCR or qPCR of stool or liver abscess pus for Entamoeba histolytica DNA
  • stool antigen detection
  • serum antibody test
完整详情

需考虑的检查

  • colonoscopy
  • liver ultrasound
  • CXR
  • CT liver/chest/head
  • MRI brain
完整详情

治疗流程

急症处理

symptomatic amebiasis

asymptomatic amebiasis

撰稿人

作者

Koji Watanabe, MD, PhD

Attending physician

AIDS Clinical Center

National Center for Global Health and Medicine

Tokyo

Japan

利益声明

KW is the author or coauthor of several references cited in this topic.

鸣谢

Dr Koji Watanabe would like to gratefully acknowledge Dr William A. Petri, a previous contributor to this topic. WAP is a consultant for TechLab, Inc. which manufactures diagnostic tests for amebiasis and is also the author of a number of references cited in this topic.

同行评议者

Ran Nir-Paz, MD

Senior Lecturer in Microbiology and Medicine

Department of Clinical Microbiology and Infectious Diseases

Hadassah-Hebrew University Medical Center

Jerusalem

Israel

利益声明

RNP declares that he has no competing interests.

Christopher Huston, MD

Assistant Professor of Medicine

Division of Infectious Diseases

University of Vermont College of Medicine

Burlington

VT

利益声明

CH declares that he has no competing interests.

Debbie-Ann Shirley, MBBS, MPH

Clinical Associate Professor

Department of Pediatrics Division Chief

Pediatric Infectious Disease

University of Florida College of Medicine

利益声明

DAS is the coauthor of one of the references cited in this topic.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

参考文献

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

关键文献

Shirley DT, Farr L, Watanabe K, et al. A review of the global burden, new diagnostics, and current therapeutics for amebiasis. Open Forum Infect Dis. 2018 Jul;5(7):ofy161.全文  摘要

Centers for Disease Control and Prevention. CDC Yellow Book 2026: health information for international travel. Section 5: travel-associated infections & diseases - post-travel diarrhea. Apr 2025 [internet publication].全文

Public Health England. Interim public health operational guidelines for amoebiasis (Entamoeba histolytica). Oct 2017 [internet publication].全文

Gonzales MLM, Dans LF, Sio-Aguilar J. Antiamoebic drugs for treating amoebic colitis. Cochrane Database Syst Rev. 2019 Jan 9;1:CD006085. 摘要

参考文献

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • Amebiasis images
  • 鉴别诊断

    • Infectious diarrhea
    • Ulcerative colitis
    • Pyogenic liver abscess
    更多 鉴别诊断
  • 指南

    • CDC Yellow Book 2026: health information for international travel. Post-travel diarrhea
    • Interim public health operational guidelines for amoebiasis (Entamoeba histolytica)
    更多 指南
  • 患者教育信息

    Amebic dysentery

    Amebic dysentery: prevention

    更多 患者教育信息
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