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. 2020 Jun 21;73(9):e3163–e3171. doi: 10.1093/cid/ciaa820

Table 2.

Summary of the Laboratory Data for 13 Patients With Asymptomatic Intestinal Entamoeba histolytica Infection

Case ID Age, y Sex Chief Complaint or Reason for Referral Endoscopy Serum Anti–Entamoeba histolytica AbTitera
Stool Examination Macroscopic Findings Intestinal Fluid Examination Histopathology of Biopsied Sample
O&P PCR O&P PCR
11 41 M Anti–E. histolytica Ab positive Negative Negative Erosions in the cecum Trophozoite Positive Negative 400
104 40 F FOB test positive Negative Positive Ulcer in the cecumb NA NA Positiveb NA
71 45 M Extrapulmonary tuberculosis Negative Positive NA NA NA NA Negative
77 68 F Complete medical examination Cyst Positive NA NA NA NA 400
92 45 M Anti–E. histolytica Ab positive Cyst Positive NA NA NA NA 400
93 42 M Anti–E. histolytica Ab positive Cyst Positive NA NA NA NA 800
99 29 M Anti–E. histolytica Ab positive and LFT elevation Cyst Positive NA NA NA NA 1600
120 45 M LFT elevation Cyst Positive NA NA NA NA NA
124 56 M Complete medical examination Cyst Positive NA NA NA NA NA
53 38 M FOB test positive NA NA Ulcer with exudates in the cecum Trophozoite Positive Positive 100
73 58 M FOB test positive NA NA Multiple erosions with exudates in the cecum Trophozoite Positive Negative Negative
105 52 M Complete medical examination NA NA Multiple erosions in the cecum Trophozoite Positive Positive NA
54 49 M Kaposi sarcoma NA NA Multiple ulcers and bumpsc with exudates from the cecum to the transverse colon Negative Positive Positive 100

Abbreviations: Ab, antibody; F, female; FOB, fecal occult blood; ID, identification number; LFT, liver function test; M, male; NA, not available; O&P, ova and parasite examination; PCR, polymerase chain reaction.

aAnti–E. histolytica antibody was measured by an indirect immunofluorescence assay. This commercial antibody test was only available until 2017 in Japan, so it could not be used for the samples from 2018 (cases 104–124).

bIn case 104, endoscopy was performed by the previous doctor and only a stool test was performed at our hospital.

cBump was defined as edematous swollen mucosa caused by acute inflammation.