Fulminant amebic colitis with fatal outcome in a patient with probable SARS-CoV-2 infection

Authors

  • José Somocurcio Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú. Universidad Nacional Mayor de San Marcos, Lima, Perú. Médico anatomopatólogo, magíster en Medicina https://orcid.org/0000-0002-5198-4113
  • Tula Ayquipa Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú. Universidad Ricardo Palma, Lima, Perú. médico residente de Anatomía Patológica
  • Vanessa Pineda Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú. Universidad Peruana Cayetano Heredia, Lima, Perú. médico residente de Radiología

DOI:

https://doi.org/10.17843/rpmesp.2021.383.8050

Keywords:

Amebiasis, COVID-19, SARS-CoV-2, Corticosteroides, Amebic Colitis, Parasites

Abstract

We report the case of a 62-year-old male with cough and abdominal pain for two weeks, associated with pulmonary tomographic findings compatible with probable infection by SARS-CoV-2, and who received high doses of early corticotherapy as an outpatient. The patient showed clinical deterioration, was hospitalized and died in the immediate postoperative period due to acute surgical abdomen. The anatomopathological study showed parasitic structures with characteristics compatible with amebae, which was pointed to as the cause of a complicated acute fulminant colitis, with multiple perforations and acute peritonitis. Acute fulminant colitis due to intestinal amebiasis in the context of a patient with probable COVID-19 had not been previously reported in Peru. It is important to highlight the fulminant presentation with fatal outcome of this prevalent parasitic infection, in the context of corticosteroids use in a probable SARS-CoV-2 pulmonary infection.

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Author Biographies

  • José Somocurcio, Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú. Universidad Nacional Mayor de San Marcos, Lima, Perú. Médico anatomopatólogo, magíster en Medicina

    Departamento de Anatomía Patológica

    Hospital Nacional Edgardo Rebagliati Martins 

    EsSalud

    Médico Asistente

  • Tula Ayquipa, Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú. Universidad Ricardo Palma, Lima, Perú. médico residente de Anatomía Patológica

    Departamento de Anatomía Patológica

    Hospital Nacional Edgardo Rebagliati Martins 

    EsSalud

    Médico Residente

  • Vanessa Pineda, Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú. Universidad Peruana Cayetano Heredia, Lima, Perú. médico residente de Radiología

    Departamento de Radiología

    Hospital Nacional Edgardo Rebagliati Martins 

    EsSalud

    Médico Residente

Published

2021-09-30

Issue

Section

Case Report

How to Cite

1.
Somocurcio J, Ayquipa T, Pineda V. Fulminant amebic colitis with fatal outcome in a patient with probable SARS-CoV-2 infection. Rev Peru Med Exp Salud Publica [Internet]. 2021 Sep. 30 [cited 2024 Nov. 5];38(3):458-62. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/8050

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