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Amebiasis

The Nemours Foundation

About Amebiasis

Amebiasis is an intestinal illness that's typically transmitted when someone eats or drinks something that's contaminated with a microscopic parasite called Entamoeba histolytica (E. histolytica). The parasite is an amoeba, a single-celled organism. That's how the illness got its name — amebiasis.

In many cases, the parasite lives in a person's large intestine without causing any symptoms. But sometimes, it invades the lining of the large intestine, causing bloody diarrhea, stomach pains, cramping, nausea, loss of appetite, or fever. In rare cases, it can spread into other organs such as the liver, lungs, and brain.

Amebiasis typically occurs in areas where living conditions are crowded and where there is a lack of adequate sanitation. The illness is very prevalent in parts of the developing world, including Africa, Latin America, India, and Southeast Asia. It is rare in the United States, occurring mostly in immigrants, recent travelers to high-risk countries, and people with HIV/AIDS.

Signs and Symptoms

Most kids who get amebiasis have minimal or no symptoms. When children do become ill, they experience abdominal pain that begins gradually, along with frequent loose or watery bowel movements, cramps, nausea, and a loss of appetite. In some cases they develop a fever and, possibly, bloody stools.

For some people, symptoms of amebiasis can begin within days to weeks of swallowing food or water contaminated by amoebas. For other people, symptoms of amebiasis either take months to appear or never appear at all.

Contagiousness

Amebiasis is contagious. Wherever living conditions are unsanitary and hygiene is poor, the chances are higher that the infection will pass from person to person.

Someone carrying amoebas in his or her intestines can pass the infection to others through the stool. When infected stool contaminates food or water supplies, amebiasis can spread quickly to many people at once. This is especially true in developing countries where drinking water may be contaminated.

Amebiasis can also be spread between people through inadequate hand washing, by using the same objects, and by sexual contact.

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