Wingfield, Tom ORCID: https://orcid.org/0000-0001-8433-6887, Ball, Robert, Woolley, Stephen D., Campbell, Fiona, Heath, Richard M., Beeching, Nicholas ORCID: https://orcid.org/0000-0002-7019-8791 and Turtle, Lance (2018) 'The Brief Case: A Rare Case of Invasive Amebiasis Requiring Emergency Subtotal Colectomy in an HIV-Positive Man'. Journal of Clinical Microbiology, Vol 56, Issue 8, e01703-17.
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Abstract
In April 2017, a 56-year-old HIV-positive man was transferred from another institution to our regional infectious disease unit having presented with 2 weeks of profuse, watery diarrhea accompanied by intermittent, fresh bleeding of the rectum. Symptoms had started during a 2-month vacation to Indonesia, Vietnam, and Malaysia. While on vacation, he stayed in hotels in urban areas, had no rural travel, and drank only bottled water. He reported that he was not a man who has sex with men (MSM) and preferred to discuss his further sexual history confidentially with the genitourinary medicine team. Two months prior to admission, his CD4 count was 194 cells/mm3, and while taking an antiretroviral therapy regimen consisting of tenofovir, emtricitabine, and nevirapine, his HIV RNA had been undetectable in his plasma for 3 years.
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