علاج الداء الأميبي الجلدي في التهاب القولون الأميبي الخاطف مع ثقب الأمعاء أو التهاب الصفاق

References

DOI: 10.1093/ofid/ofy161

• Patients with fulminant amebic colitis will additionally require fluid resuscitation, broad-spectrum antimicrobial therapy for peritonitis, intensive supportive care, and surgical intervention for bowel perforation and bowel necrosis.
• Occasionally, colectomy has been necessitated by the development of toxic megacolon or extensive bowel necrosis.
• In patients who are unable to tolerate or absorb oral metronidazole, intravenous metronidazole should be used.
• The nitroimidazoles do not effectively eradicate luminal cysts and must be followed by a luminal agent.