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The Treatment of Amebiasis

FREDERICK STEIGMANN, M.D.*

WILLIAM H. SHLAES, M.D. **

Amebiasis, a disorder ranging from "asymptomatic" to fatal in


character, illustrates the wide biological variations possible in the host-
parasite relationship. Since the protean clinical manifestations of amebiasis
stem from this biologic complexity of host-parasite interaction, it would
appear advantageous to review briefly some of these complex factors before
discussing the therapy of this condition.
Amebiasis is today a health problem throughout the entire world-
not only in tropical or subtropical areas but also in cold climates.! It is an
insidious disease, transmitted only from man to man and does not require
an intermediate host. It tends to persist despite various therapeutic regi-
mens, and may run the whole gamut from acute fulminating dysentery
through chronic recurrent diarrhea. Occasionally it may remain latent.
Amebiasis denotes that the body is infested with Entamoeba histoly-
tica. Amebic dysentery, a form not very common in the United States,
is only one of its manifestations. It is the more serious form of this disease
and occurs frequently in the tropics where amebiasis, in general, is more
frequent and is accompanied by more severe clinical symptoms. In the
United States amebiasis is seen mostly in its milder form, which is not
associated with severe diarrhea but, at times, rather with constipation. It
has a low mortality but a high morbidity.

ETIOLOGICAL CONSIDERATION

An understanding of the etiological relationship of amebiasis to dysen-

From the Departments of Medicine, Therapeutics and Gastroenterology of the Cook


County Hospital and the Departments of Internal Medicine of the University of
Illinois College of Medicine and the Chicago Medical School, Chicago, Illinois
* Attending Physician and Director of Therapeutics and Gastroenterology, Cook COllnty
Hospital; Clinical Associate Professor of Medicine, University of Illinois College
of Medicine
** Assistant Professor of Medicine, Chicago Medical School
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