Hepato-pulmonary amebiasis: a case report.
Identifieur interne : 004016 ( Main/Exploration ); précédent : 004015; suivant : 004017Hepato-pulmonary amebiasis: a case report.
Auteurs : Vishnu Prasad Shenoy [Inde] ; Shashidhar Vishwanath ; Bairy Indira ; G. RodriguesSource :
- The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases [ 1678-4391 ]
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Abcès amibien du foie, Parasitoses pulmonaires.
- isolement et purification : Entamoeba histolytica.
- parasitologie : Expectoration.
- Abcès amibien du foie, Adulte d'âge moyen, Diagnostic différentiel, Humains, Mâle, Parasitoses pulmonaires, Études rétrospectives.
English descriptors
- KwdEn :
- Diagnosis, Differential, Entamoeba histolytica (isolation & purification), Humans, Liver Abscess, Amebic (complications), Liver Abscess, Amebic (diagnosis), Lung Diseases, Parasitic (complications), Lung Diseases, Parasitic (diagnosis), Male, Middle Aged, Retrospective Studies, Sputum (parasitology).
- MESH :
- complications : Liver Abscess, Amebic, Lung Diseases, Parasitic.
- diagnosis : Liver Abscess, Amebic, Lung Diseases, Parasitic.
- isolation & purification : Entamoeba histolytica.
- parasitology : Sputum.
- Diagnosis, Differential, Humans, Male, Middle Aged, Retrospective Studies.
Abstract
Infections with Entamoeba histolytica are seen worldwide and are more prevalent in the tropics. About 90% of infections are asymptomatic, and the remaining 10% produce a spectrum of clinical syndromes, ranging from dysentery to abscesses of the liver or other organs. Extra-intestinal infection by E. histolytica most often involves liver. Pleuro-pulmonary involvement, seen as the second most common extra-intestinal pattern of infection, is frequently associated with amebic liver abscess. Pulmonary amebiasis occurs in about 2-3% of patients with invasive amebiasis. We report herein the case of a 45-year-old male presenting with hepato-pulmonary amebiasis. The diagnosis was established from direct examination of sputum, in which trophozoites of E. histolytica were detected, and by serology. Following treatment with metronidazole and chloroquine, the clinical evolution improved significantly. On regular follow-up visits, the patient was asymptomatic. This case report reiterates the need for collaboration between clinicians and microbiologists for timely diagnosis of such infections.
PubMed: 20963322
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">Infections with Entamoeba histolytica are seen worldwide and are more prevalent in the tropics. About 90% of infections are asymptomatic, and the remaining 10% produce a spectrum of clinical syndromes, ranging from dysentery to abscesses of the liver or other organs. Extra-intestinal infection by E. histolytica most often involves liver. Pleuro-pulmonary involvement, seen as the second most common extra-intestinal pattern of infection, is frequently associated with amebic liver abscess. Pulmonary amebiasis occurs in about 2-3% of patients with invasive amebiasis. We report herein the case of a 45-year-old male presenting with hepato-pulmonary amebiasis. The diagnosis was established from direct examination of sputum, in which trophozoites of E. histolytica were detected, and by serology. Following treatment with metronidazole and chloroquine, the clinical evolution improved significantly. On regular follow-up visits, the patient was asymptomatic. This case report reiterates the need for collaboration between clinicians and microbiologists for timely diagnosis of such infections.</div>
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