Abstract
Amoebic dysentery is recognized as a disease to show a good prognosis. According to the previous reports, there are some dead cases who took fuluminant course. We reported a 68 year-old female with fuluminant amoebic colitis. She was admitted to our hospital because of pleural effusion and dyspnea. She had had a history of radiation therapy (6, 000 rad in total) for esophgeal cancer, but never traveling to foreign country. On the 26th hospital day she had bloody stool, and stool became strawberry jam like, gradually. She was diagnosed of amoebic colitis by colonoscopic examination and biopsy specimen. Colonoscopy disclosed many polypoid lesions with erosions, ulcers and hemorrhage. In spite of administration of Metronidazole and some medications, she died on the 36th hospital day. Through post-mortem examination, colitis was observed from transverse colon to rectum, while perforation, peritonitis and liver abscess were not recognized at all. We should keep in mind that some patients of amoebic colitis take a fuluminant course like this case.
