PDF(Pubmed)
Abstract：
Cutaneous amebiasis is a rare clinical entity caused by the invasive protozoan parasite Entamoeba histolytica that can be readily diagnosed with skin biopsy if suspected. It presents as a rapidly progressive and destructive ulceration with necrosis. A man in his 40s with metastatic rectal cancer who underwent palliative abdominal perineal resection with end colostomy in his left lower quadrant and on systemic chemotherapy developed progressive breakdown of his peristomal skin unresponsive to antibiotics that was then diagnosed to be cutaneous amebiasis. It is important to be aware of cutaneous amebiasis and include it in the differential diagnosis when peristomal wounds do not respond to treatment.
摘要：
皮肤阿米巴病是由侵袭性原生动物寄生虫溶组织内阿米巴引起的罕见临床实体，如果怀疑，可以通过皮肤活检很容易诊断。它表现为具有坏死的快速进行性和破坏性溃疡。一名40多岁患有转移性直肠癌的男子接受了姑息性腹部会阴切除术，并在左下象限进行了结肠造口术，并接受了全身化疗，其造口周围皮肤对抗生素无反应，然后被诊断为皮肤阿米巴病。重要的是要意识到皮肤阿米巴病，并在造口周围伤口对治疗无反应时将其包括在鉴别诊断中。
