A Patient with caecal amoebiasis (Large amoeboma in the Caecum)
1. What’s the recommended duration to treat with Metronidazole - is it 14days?
2. How would you monitor complete resolution of disease?
3. How long would the endoscopic mass take to resolve?
On Behalf of Dr. Nilesh Fernandopulle, Sri Lanka
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I would suggest a course of metronidazole for 2 weeks
This should be followed by a course of Dilloxanide furoate for another two weeks for persistent parasites
Other options are paromomycin, iodoquinol .. may not be easily available
May take months for complete resolutions
Symptoms normally settle by first few weeks
By Dr. Rupa Banerjee