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Unusual-This man contracted gut infection through sexual route- Case report

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Unusual-This man contracted gut infection through sexual route- Case report
An unusually rare case of transmission of a common gut infection has been reported in BMJ case reports.

Can a gut infection be contacted through sex is the moot question. Usually, the infections commonly transmitted through sexual route include Chlamydia, Gonorrhea, HepatitisB, Herpes, HIV/AIDS, human papillomavirus (HPV) and Syphilis, etc.  But in this case, surprisingly a man got intestinal and hepatic amebiasis after having sex with his wife.

Entamoeba histolytica that causes common gut infection is a cosmopolitan pathogenic parasite. It is spread via the fecal-oral route through contaminated water, milk or food. It is a protozoan that causes non-febrile intestinal infection or febrile hepatic infection, and it is the third most deadly parasitic infection. Amoebiasis is highly prevalent in low-income and middle-income countries. This is an unusual case where it was spread through sexual intercourse.

In the present case, the patient a 67 years old man was admitted to a hospital in the French city of Dijon with pain in his liver and a fever. He reportedly had an upset stomach, loose motions for the previous six months. He did not respond to the medication prescribed by his doctor. A later stool sample tested positive for E. histolytica. He had never traveled to an endemic area.

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His abdominal CT investigations detected two liver abscesses and chronic colitis. Positive amoebic serology and a positive PCR test for E. histolytica in the hepatic liquid and feces confirmed the diagnosis. Curative metronidazole and tiliquinol-tilbroquinol were administered successfully. The patient had been contaminated through heterosexual intercourse with his healthy French female partner who was a carrier of the parasite. Though unusual, amoebiasis as a result of sexual transmission should be considered in non-endemic areas in people who have never traveled abroad, particularly in the presence of clinical symptoms such as liver abscesses or chronic diarrhea.

Anti-amebic treatment was given to both the partners and two months later, both tested negative for E. histolytica and were seemingly healthy.

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Source: With inputs from BMJ case reports

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  1. user
    Aijaz Ahmed Khan May 19, 2019, 5:17 am

    Seems to be a diagnosis made by the patient and countersigned by the doctor/researcher.

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