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September 1982

Spectrum of Amebiasis in Children

Author Affiliations

From the Departments of Pediatrics (Drs Merritt, Coughlin, Thomas, and Sinatra) and Pathology (Drs Jariwala and Swanson), Children's Hospital of Los Angeles, University of Southern California School of Medicine, Los Angeles.

Am J Dis Child. 1982;136(9):785-789. doi:10.1001/archpedi.1982.03970450027007

• In 11 patients with childhood amebiasis, only two had dysentery. Additional clinical findings included hematochezia without diarrhea (four patients), dysentery with appendicitis (one patient), exacerbation of ulcerative colitis (two patients), and disseminated infantile amebiasis (two patients). All patients with hematochezia examined by proctosigmoidoscopy had colitis. The diagnosis of amebiasis was confirmed by microscopic examination of fresh stool specimens, pathologic findings, and/or serologic titers. Amebiasis should be considered in the differential diagnosis of infants and children with hematochezia or hepatomegaly, especially in endemic areas.

(Am J Dis Child 1982;136:785-789)