oa South African Medical Journal - Amoebiasis : difficulties and pitfalls in the diagnosis : a case of lymphatic spread in a Bantu male

Volume 24, Issue 49
  • ISSN : 0256-9574
  • E-ISSN: 2078-5135



The surgical complications of amoebiasis are briefly reviewed and references made to some of the commoner difficulties encountered. A warning is sounded against the tendency to pay insufficient heed to the variegated pathogenicity of E. histolytica and a plea is made for greater interest in it by the surgeon. Most of the standard textbooks on surgery and surgical pathology dispose of the subject of amoebiasis by dealing with the hepatic complications, little or no reference being made to the lesions occurring in other organs of the body. An extremely unusual case of amoebiasis in a Bantu male, showing lymphatic spread and simulating Crohn's disease, is reported as an illustration of the pitfalls that confront and confound the clinician.

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