The document discusses the treatment of amebiasis, an infection caused by the parasite Entamoeba histolytica that ranges in severity from asymptomatic to fatal. Amebiasis is a global health problem found worldwide, not just in tropical areas, and is transmitted from person to person. It can cause acute dysentery or chronic recurrent diarrhea and sometimes remains latent. While amebic dysentery is more common in tropical areas and causes more severe symptoms, in the US amebiasis is usually milder and may cause constipation rather than severe diarrhea. An understanding of the host-parasite relationship is important for discussing treatment of this complex condition.
The document discusses the treatment of amebiasis, an infection caused by the parasite Entamoeba histolytica that ranges in severity from asymptomatic to fatal. Amebiasis is a global health problem found worldwide, not just in tropical areas, and is transmitted from person to person. It can cause acute dysentery or chronic recurrent diarrhea and sometimes remains latent. While amebic dysentery is more common in tropical areas and causes more severe symptoms, in the US amebiasis is usually milder and may cause constipation rather than severe diarrhea. An understanding of the host-parasite relationship is important for discussing treatment of this complex condition.
The document discusses the treatment of amebiasis, an infection caused by the parasite Entamoeba histolytica that ranges in severity from asymptomatic to fatal. Amebiasis is a global health problem found worldwide, not just in tropical areas, and is transmitted from person to person. It can cause acute dysentery or chronic recurrent diarrhea and sometimes remains latent. While amebic dysentery is more common in tropical areas and causes more severe symptoms, in the US amebiasis is usually milder and may cause constipation rather than severe diarrhea. An understanding of the host-parasite relationship is important for discussing treatment of this complex condition.
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 159