HYBRID EVENT: You can participate in person at Rome, Italy or Virtually from your home or work.
Speaker at  and Expo on Applied Microbiology 2023 - Yibeltal Aschale
Debre Markos University, Ethiopia
Title : Extraintesinal amoebiasis in women after 6th day of delivery: A case report


Extraintestinal amoebiasis is more common in countries with lower socioeconomic status. Complication related to amoebiasis is common in pregnant patients with malnutrition and others. Severe cases can be associated with high fatality rates. We would like to report a patient with a presumptive diagnosis of extraintestinal amoebiasis who was on the 6th postpartum day after intrauterine fetal death (IUFD).

Case Presentation: The patient was a 31 year-old female who was on 6th postpartum day after IUFD after the 9th month of amenorrhea. She presented with severe epigastric pain, hiccups, and bloody vomiting of ingested matter for 5 days. She also had right upper quadrat pain and fatigue. In addition, she had generalized body weakness and yellowish discoloration of the eyes for one week. Moreover, she had pruritus, fever, and a history of watery diarrhea 6 days ago which got subsided during the presentation. Laboratory investigation indicated leukocytosis and increased level of alkaline phosphatase and direct and total bilirubin. Trophozoite of E. histolytica was seen on stool microscope, negative for viral marker and Helicobacter pylori. Abdominal ultrasonography showed normal liver parenchyma and biliary system. She was treated onsite with 500 mg metronidazole and 500 mg ceftriaxone for five days and discharged with metronidazole 500 mg PO three times a day and Cloxacillin 500 mg PO four times a day for 7 days.

Conclusions: Extraintesinal amoebiasis can be resolved if it is diagnosed early and treated with metronidazole. Clinicians should not neglect amoebiasis in patients presenting with jaundice and right upper quadrant pain.

Audience Take Away

  • Occurrence of extraintestinal amoebiasis cases after delivery.
  • Management of extraintestinal amoebiasis cases after delivery.
  • Recommended laboratory investigations to confirm the case.


Yibeltal Aschale studied Medical Laboratory Science at University of Gondar, Ethiopia and graduated as BSc in 2010. He then employed at College of Health Science, Debre Markos University, Ethiopia as Assistant lecturer. He then rejoined University of Gondar, Ethiopia and received his MSc degree in Medical Parasitology in 2017. After three years of participations in teaching and research, he obtained the position of Assistant Professor at Debre Markos University, Ethiopia in 2021. He has published more than 20 research articles in peer reviewed reputable journals.