Official websites use. Share sensitive information only on official, secure websites. E-mail: kwatanab acc. Amebiasis, which is caused by Entamoeba histolytica E. It manifests from asymptomatic carriers to severe clinical conditions, like colitis and liver abscesses.
Amebiasis is commonly seen in developing countries, where water and food are easily contaminated by feces because of the poor sanitation. However, a recently challenge in many developed countries is the increase in domestic cases of invasive amebiasis as a sexually transmitted infection STI amebiasis. The Development of screening methods for the early diagnosis of asymptomatic E. Moreover, delay in diagnosis of severe cases e. It is also important to increase clinical awareness of domestically transmitted STI amebiasis in the clinical settings.
This review considers the changing epidemiology and clinical manifestations of STI amebiasis, and finally discusses the future strategies for the better practice. Keywords: STI amebiasis, Entamoeba histolytica , asymptomatic carriers, epidemiological control, high-risk populations, serological screening.
Amebiasis is caused by Entamoeba histolytica E. Transmission could occur via the oral ingestion of the transmissible cystic form of E. Therefore, amebiasis was thought to be prevalent only in developing countries due to poor sanitation, but it is increasingly being reported as a sexually transmitted infection STI amebiasis in developed nations 4 , 5. Additionally, amebiasis sometimes causes a life-threatening disease called fulminant amebiasis, which presents as an acute abdomen from the perforation of the large intestinal and mimics acute appendicitis 6 - If such cases are not treated with amebicidal drugs and resection of the perforated intestine, they are often critical and result in death.
In fact, many cases of fulminant amebiasis are only diagnosed postmortem. This is because clinicians in developed nations may not be fully aware of the increasing risk posed by E. In this review, we discuss the epidemiology and clinical manifestations of STI amebiasis, as well as the measures required for the epidemiological control of this infection. Amebiasis is a disease caused by the oral ingestion of the transmissible cystic form of E. In developing countries, transmission typically occurs via the ingestion of food and water contaminated with feces.
