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Abstract

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Article in Japanese

Diagnostic Imaging

A case of hepatic and pulmonary amebiasis with reddish brown sputum

Kengo Murataa  Tetsuya Kashiyamab  Akira Fujitaa 

aDepartment of Respiratory Medicine, Tokyo Metropolitan Tama Medical Center
bDepartment of Emergency Medicine, Tokyo Metropolitan Tama Medical Center

ABSTRACT

A 32-year-old homosexual man with human immunodeficiency virus infection and a CD4 count of 65 cells/μl presented with a 1-week history of expectoration of reddish brown sputum. He was not receiving antiretroviral therapy at that time. Computed tomography (CT) revealed hepatic abscess formations extending into the subphrenic space and lung parenchyma. Serological testing for amoeba was positive. The patient was treated with oral metronidazole for 13 days, and copious amounts of reddish pus were drained via a catheter placed in the subphrenic space. At the 2-year follow-up visit, the patient was doing well and CT showed that the abscesses had resolved. This case suggests the usefulness of CT in detecting a thoracic communication of liver abscess.

KEYWORDS

Entamoeba histolytica  Lung abscess  Amebic liver abscess  Subphrenic abscess  Pulmonary amebiasis 

Received 22 Mar 2011 / Accepted 14 Sep 2011

AJRS, 1(1): 83-87, 2012

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