[Amoebic infections of the lung and pleura]

Rev Mal Respir. 2005 Dec;22(6 Pt 1):1035-7. doi: 10.1019/200530172.
[Article in French]

Abstract

Introduction: Pleuropulmonary involvement is the second most common extra-intestinal manifestation of entamoeba histolytica infection after liver abscess.

Case report: We report 2 cases of pleuropulmonary disease occurring in two men aged 32 and 48 years following an episode of dysentery. Purulent pleural infection was noted in one case. In the other both lung and liver abscesses occurred.

Conclusion: The diagnosis was confirmed by strongly positive serology in both cases. Treatment with metronidazole (1.5 g per day) for 15 days combined with pleural drainage led to a satisfactory outcome in both cases.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Animals
  • Antiprotozoal Agents / administration & dosage
  • Antiprotozoal Agents / therapeutic use
  • Drainage
  • Entamoeba histolytica*
  • Entamoebiasis* / diagnosis
  • Entamoebiasis* / drug therapy
  • Humans
  • Liver Abscess, Amebic* / diagnosis
  • Liver Abscess, Amebic* / drug therapy
  • Lung Abscess / drug therapy
  • Lung Abscess / parasitology*
  • Lung Diseases / diagnostic imaging
  • Lung Diseases / drug therapy
  • Lung Diseases / parasitology*
  • Male
  • Metronidazole / administration & dosage
  • Metronidazole / therapeutic use
  • Middle Aged
  • Pleural Diseases / diagnostic imaging
  • Pleural Diseases / drug therapy
  • Pleural Diseases / parasitology*
  • Radiography, Abdominal
  • Radiography, Thoracic
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Antiprotozoal Agents
  • Metronidazole