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Amebiasis Handout Entamoeba histolytica E. histolytica vs. E. dispar

Amebiasis Handout Entamoeba histolytica E. histolytica vs. E. dispar

Amebiasis Handout Entamoeba histolytica E. histolytica vs. E. dispar

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Diagnosis<br />

Intestinal<br />

• stool examination<br />

• cysts and/or trophozoites<br />

• sigmoidoscopy<br />

• lesions, aspirate, biopsy<br />

• antigen detection<br />

• <strong>histolytica</strong>/<strong>dispar</strong><br />

Extraintestinal (hepatic)<br />

• serology<br />

• only E. <strong>histolytica</strong><br />

• current or past?<br />

• imaging<br />

• CT, MRI, ultrasound<br />

• abscess aspiration<br />

• only select cases<br />

• reddish brown liquid<br />

• trophozoites at abscess wall<br />

Disease<br />

Asymptomatic<br />

Nondysenteric, Dysenteric,<br />

or Extraintestinal<br />

<strong>Amebiasis</strong> Treatment<br />

Drug<br />

Iodoquinol, Paromomycin, or<br />

Diloxanide furoate<br />

Metronidazole or Tinidazole +<br />

lumenal agent<br />

6

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