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An amebic lung abscess: report of a case
K Teramoto1, N Yamashita, M Kuwabara
1Respiratory Division, Kyoto Katsura Hospital, Nishikyo, Japan.
Surgery Today
|November 1, 2001
Summary
A rare case of amebiasis affecting the lungs was reported in Japan. This Entamoeba histolytica infection in the lung abscess was successfully treated with medication and surgery.
Area of Science:
- Infectious Diseases
- Parasitology
- Pulmonology
Background:
- Amebiasis, a parasitic infection caused by Entamoeba histolytica, is increasingly reported in Japan.
- Pleuropulmonary amebiasis is an exceptionally rare complication of amebic liver abscess.
Observation:
- A 54-year-old male presented with symptoms suggestive of a lung abscess in the right lower lobe.
- Microscopic examination of abscess pus revealed Entamoeba histolytica trophozoites, confirming amebic lung abscess.
Findings:
- The patient received oral metronidazole, leading to initial clinical improvement.
- A subsequent right lower lobectomy was performed, and the patient recovered without infection recurrence.
Implications:
- This case highlights the importance of considering protozoan infections in refractory pleuropulmonary infections.
- Early diagnosis and appropriate treatment, including antiparasitic medication and surgical intervention if necessary, are crucial for managing amebic lung abscess.