Abstract
We experienced a case of a patient with amebic dysentery with presenting a severe disorder of the liver function with hyperbilirubinemia. The case was a 61-year-old male, who had lived in Sri Lanka for three years. On October 18th, 1997, a pyrexia of between 39 and 40 degrees (C) and mucosanguineous stools appeared. After 13days, an amebic hepatic abscess and colitis were diagnosed by X-ray computerized tomography (CT) and the patient was transferred to our emergency center complicated with hepatic and renal failures. The liver abscess was punctured and an anchovy-like abscess was drained. Amebic dysentery protozoan were observed in the stool sample. Thus, amebic dysentery was diagnosed and treatment with metronidazole 750mg·day-1 was started. Despite a prompt diagnosis and treatments after admission the patient's conditions became fulminant and failures of multiple organs developed. A CT on day 19th after the admission showed an intestinal perforation in the ileocecum. Emergency ileocecal resection failed to recover the patient from shock status and patient expired on the day 20th.
