Infantile Amoebiasis: A Case Report

Abstract

Amoebiasis continues to be a major cause of morbidity and mortality in children in developing countries.Entamoeba histolyticainfections are commonly observed in tropical and subtropical regions of the world including Iran. In developed countriesEntamoeba histolyticainfections are commonly seen in travelers, recent immigrants, homosexual men, and inmates of institutions. The disease is more severe in the two extremes of life. This paper paper describes a four-month-old male infant withEntamoeba histolyticapresenting initially with refusal of feeds, hyperactive bowel sound, vomiting, and diarrhea. A fecal sample was positive forEntamoeba histolyticaby Lugol's iodine solution and the concentration technique. He was successfully treated with metronidazole for 5 days. This case illustrates thatEntamoebaspecies could be pathogenic in young infant; therefore, awareness of the infection, aggressive approach to diagnosis, and early initiation of treatment continue to be critical component of infection control.