A patient presents with lower gastrointestinal bleed. Sigmoidoscopy shows ulcers in the sigmoid. Biopsy from this area shows flask-shaped ulcers. Which of the following is the most appropriate treatment –
Correct Answer: Intravenous metronidazole
Description: • MC site of amebic colitis: Cecum and ascending colon.
• Flask shaped ulcers on colonoscopy confirms the diagnosis of amebic colitis.
• Asymptomatic carrier: Luminal agents (Iodoquinol, paromomycin).
• Acute colitis: Metronidazole and luminal agents.
• Amebic liver abscess: Metronidazole, tinidazole and luminal agents.
Category:
Surgery
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