Amebic Pleurisy Secondary to a Liver Abscess: A Case Report

H. Benjelloun *

Department of Respiratory Diseases, CHU Ibn Rochd, Casablanca, Morocco and Pulmonology Department, CHU Ibn Rochd Casablanca, Morocco.

A. Amir

Department of Respiratory Diseases, CHU Ibn Rochd, Casablanca, Morocco and Pulmonology Department, CHU Ibn Rochd Casablanca, Morocco.

A. Rattal

Department of Respiratory Diseases, CHU Ibn Rochd, Casablanca, Morocco and Pulmonology Department, CHU Ibn Rochd Casablanca, Morocco.

H. Harraz

Department of Respiratory Diseases, CHU Ibn Rochd, Casablanca, Morocco and Pulmonology Department, CHU Ibn Rochd Casablanca, Morocco.

K. Chaanoun

Department of Respiratory Diseases, CHU Ibn Rochd, Casablanca, Morocco and Pulmonology Department, CHU Ibn Rochd Casablanca, Morocco.

N. Zaghba

Department of Respiratory Diseases, CHU Ibn Rochd, Casablanca, Morocco and Pulmonology Department, CHU Ibn Rochd Casablanca, Morocco.

N. Yassine

Department of Respiratory Diseases, CHU Ibn Rochd, Casablanca, Morocco and Pulmonology Department, CHU Ibn Rochd Casablanca, Morocco.

*Author to whom correspondence should be addressed.


Abstract

We report a case of pleural amoebiasis, diagnosed on the basis of radioclinical findings and positive amoebic serology. Amebic pleuropulmonary disease is the most frequent extra-intestinal expression of amebiasis after liver disease. A 71-year-old male of rural origin, with no recent tuberculosis contagion, who presented purulent pleurisy with a dysenteric syndrome. The patient was treated by antibiotic and pleural decortication under U-VATS. Serological testing and radiological examination will be more useful in the early detection of cases of Entamoeba hystolitica infection. The medical treatement based on a combination of a tissue amoebicide (Metronidazole, etc.) and a contact amoebicide (Hydroxyquinoline, etc.). Surgery may be considered when purulent drainage does not show improvement in the patient's condition.

Keywords: Pleural amoebiasis, parasitosis, entamoeba histolytica, pleurisy, dysenteric syndrome, iatrogenic pneumothorax, serology, amoebicide


How to Cite

Benjelloun, H., A. Amir, A. Rattal, H. Harraz, K. Chaanoun, N. Zaghba, and N. Yassine. 2024. “Amebic Pleurisy Secondary to a Liver Abscess: A Case Report”. Journal of Advances in Medicine and Medical Research 36 (7):14-19. https://doi.org/10.9734/jammr/2024/v36i75480.

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