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Amoebic colitis is a common worldwide infection with a risk of serious complications, including invasive intestinal and extra-intestinal disease. Although newer tests are available, the mainstay of diagnosis remains stool microscopy. Early treatment with metronidazole followed by paromomycin generally results in a clinical cure.
We describe a case of fulminant colitis secondary to Entamoeba histolytica requiring bowel resection that went unrecognized until the operative histology was reviewed.
Clinicians worldwide need to be aware of this condition, particularly in patients originating from endemic areas, to ensure early diagnosis and appropriate treatment leading to optimal clinical outcomes.
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