https://scholars.lib.ntu.edu.tw/handle/123456789/589171
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.author | Huang S.-H. | en_US |
dc.contributor.author | YEE-CHUN CHEN | en_US |
dc.contributor.author | Wong J.-M. | en_US |
dc.contributor.author | HSIEN-CHING CHIU | en_US |
dc.date.accessioned | 2021-12-01T06:02:25Z | - |
dc.date.available | 2021-12-01T06:02:25Z | - |
dc.date.issued | 2015 | - |
dc.identifier.issn | 1016-7390 | - |
dc.identifier.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84960470385&doi=10.6314%2fJIMT.2015.26%286%29.01&partnerID=40&md5=3e0206f8db1d09b9c12e09f7ef7920ad | - |
dc.identifier.uri | https://scholars.lib.ntu.edu.tw/handle/123456789/589171 | - |
dc.description.abstract | A 58-year-oW German working in Taiwan presented to this hospital with the complaint of painful erythematous nodules and plaques for more than 2 weeks. Steroid and non-steroidal anti-inflammatory drugs had been given at a regional hospital with transient partial response followed by rebound of local symptoms and progression of leukocytosis. He has been stayed for 4 months in Jakarta, Indonesia. He denied history of previous pharyngitis or sulfonamide exposure. Erythema nodosum was diagnosed and a diagnostic process for potential etiologies was began. An abnormal alkaline phosphatase and y-glutamyl transpeptidase lead to an abdominal computed tomography, which disclosed edematous transverse colon with increased mucosal contrast enhancement. At the same time the patient reported new fresh-blood-tinged stool passage. A colonoscopy revealed multiple ulcers at ascending colon. Serum indirect hemagglutination tost for amoeba was positive (titer 1:256). Biopsy of the colon revealed amoebic trophozoite with erythrocyte phagocytosis. Stool PCR for Entamoeba histolytica was positive at CDC laboratory. Amoebic colitis in a HIV-negative healthy adult was (iagnosed. Erythema nodosum is a rare presenting symptom for amoebiasis. There were only two cases reported In the literature. Considering erythema nodosum is an immune-mediated presention, diagnostic approach for underlying etiology is paramount important particularly when steroid therapy is considered. | - |
dc.publisher | Society of Internal Medicine of Taiwan | - |
dc.relation.ispartof | Journal of Internal Medicine of Taiwan | - |
dc.subject.classification | [SDGs]SDG3 | - |
dc.subject.other | alkaline phosphatase; contrast medium; gamma glutamyltransferase; nonsteroid antiinflammatory agent; steroid; sulfonamide; abdomen; adult; alkaline phosphatase blood level; amebiasis; amoeba (life cycle stage); Article; ascending colon; case report; colon ulcer; colonoscopy; computer assisted tomography; contrast enhancement; diagnostic test; Entamoeba histolytica; erythema; erythema nodosum; feces analysis; gamma glutamyl transferase blood level; hemagglutination test; human; Indonesia; laboratory; leukocytosis; male; middle aged; phagocytosis; pharyngitis; polymerase chain reaction; rebound; skin nodule; steroid therapy; symptom; transverse colon | - |
dc.title | From erythema nodosum to amoebiasis - A case learned from international medicine clinic | en_US |
dc.type | journal article | en |
dc.identifier.doi | 10.6314/JIMT.2015.26(6).01 | - |
dc.identifier.scopus | 2-s2.0-84960470385 | - |
dc.relation.pages | 313-318 | - |
dc.relation.journalvolume | 26 | - |
dc.relation.journalissue | 6 | - |
item.cerifentitytype | Publications | - |
item.fulltext | no fulltext | - |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.openairetype | journal article | - |
item.grantfulltext | none | - |
crisitem.author.dept | Internal Medicine | - |
crisitem.author.dept | Internal Medicine-NTUH | - |
crisitem.author.dept | Center for Infection Control | - |
crisitem.author.dept | Dermatology | - |
crisitem.author.orcid | 0000-0002-1816-9010 | - |
crisitem.author.orcid | 0000-0002-1409-8470 | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
顯示於: | 醫學系 |
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