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Amoebic Dysentery

Description General measures Medicine treatment ICD-10 code: A06.0-1 DESCRIPTION Diarrhoea with blood and/or mucus due to E. histolytica . Organism must be demonstrated on a warm stool specimen with microscopy. GENERAL MEASURES Rehydration may be necessary. This should be done with oral rehydration solution (ORS) unless the patient is vomiting or profoundly dehydrated. Surgery for bowel perforati

Description

General measures

Medicine treatment


ICD-10 code: A06.0-1

DESCRIPTION

Diarrhoea with blood and/or mucus due to E. histolytica. Organism must be demonstrated on a warm stool specimen with microscopy.

GENERAL MEASURES

  • Rehydration may be necessary. This should be done with oral rehydration solution (ORS) unless the patient is vomiting or profoundly dehydrated.
  • Surgery for bowel perforation.

LoE:IIIxxviii

MEDICINE TREATMENT

  • Metronidazole, oral, 800 mg 8 hourly for 10 days.

CAUTION
Loperamide is contraindicated as it may result in toxic megacolon.


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Standard Treatment Guidelines And Essential Medicines List For South Africa, Adult Hospital level, 2020-4_Version 1_July 2024

Chapter 1: Alimentary tract; 1.3 Diarrhoea; 1.3.5 Amoebic Dysentery

Drugs mentioned

ICD-10 codes

NeoHealth® ID 17936 · updated 2/10/2025