Amoebic dysentery

A06.0-1/A06.7-9


DESCRIPTION

Diarrhoea with blood and/or mucus due to E. histolytica. Organism must be demonstrated on a warm stool specimen for microscopy.

GENERAL MEASURES

Rehydration may be necessary. This should be done with oral rehydration solution (ORS) unless the patient is vomiting or profoundly dehydrated. Surgery for bowel perforation.

MEDICINE TREATMENT


Loperamide is contraindicated as it may result in toxic megacolon.


LoE:III[25]

  • Metronidazole, oral, 800 mg 8 hourly for 10 days.