PMC9683516_01
Computed tomography scan of the patient's abdomen on day 14. The scan reveals severe intestinal edema from the ascending colon to the transverse colon of the large intestine as well as many contrast-enhanced low-density area on the liver.
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Fig. 1) During further history taking on day 14, the patient denied having a sexual intercourse with commercial sex workers or men. Fifteen years ago, the patient had worked in Suzhou (China), wherein he was hospitalized for diarrhea of unknown origin (DUO) for 10 days.
Clinical course of amebic colitis and liver abscesses. At midnight on day 13, the patient experienced a fever, abdominal pain, and diarrhea. On day 14, he was diagnosed with liver abscesses and colitis using contrast-enhanced computed tomography findings of the abdomen and pelvis. Computed tomography-guided drainage of the liver abscesses was performed, and he was treated with metronidazole and cefotaxime. His fever and abdominal pain were quickly resolved after treatment.
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By day 23, a 10-day course of metronidazole was complete, and the patient was discharged on day 24 ( Fig. 2).