Primary Pulmonary Amebiasis Complicated with Multicystic Empyema

Amebiasis is a parasitic infection caused by the protozoan Entamoeba histolytica. While most infections are asymptomatic, the disease could manifest clinically as amebic dysentery and/or extraintestinal invasion in the form of amebic liver abscess or other more rare manifestations such as pulmonary,...

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Main Authors: Ali Zakaria, Bayan Al-Share, Khaled Al Asad
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2016/8709347
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author Ali Zakaria
Bayan Al-Share
Khaled Al Asad
author_facet Ali Zakaria
Bayan Al-Share
Khaled Al Asad
author_sort Ali Zakaria
collection DOAJ
description Amebiasis is a parasitic infection caused by the protozoan Entamoeba histolytica. While most infections are asymptomatic, the disease could manifest clinically as amebic dysentery and/or extraintestinal invasion in the form of amebic liver abscess or other more rare manifestations such as pulmonary, cardiac, or brain involvement. Herein we are reporting a case of a 24-year-old male with history of Down syndrome who presented with severe right side pneumonia complicated with multicystic empyema resistant to regular medical therapy. Further investigation revealed a positive pleural fluid for E. histolytica cysts and trophozoites. The patient was diagnosed with primary pleuropulmonary amebiasis and he responded promptly to surgical drainage and metronidazole therapy. In patients from endemic areas all physicians should keep a high index of suspicion of amebiasis as a cause of pulmonary disease.
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institution Kabale University
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series Case Reports in Pulmonology
spelling doaj-art-1ee38f53181f48e596089b2e6b936c4d2025-08-20T03:54:57ZengWileyCase Reports in Pulmonology2090-68462090-68542016-01-01201610.1155/2016/87093478709347Primary Pulmonary Amebiasis Complicated with Multicystic EmpyemaAli Zakaria0Bayan Al-Share1Khaled Al Asad2Istishari Hospital, Department of Internal Medicine, Division of Pulmonology, Amman 11183, JordanIstishari Hospital, Department of Internal Medicine, Division of Pulmonology, Amman 11183, JordanIstishari Hospital, Department of Internal Medicine, Division of Pulmonology, Amman 11183, JordanAmebiasis is a parasitic infection caused by the protozoan Entamoeba histolytica. While most infections are asymptomatic, the disease could manifest clinically as amebic dysentery and/or extraintestinal invasion in the form of amebic liver abscess or other more rare manifestations such as pulmonary, cardiac, or brain involvement. Herein we are reporting a case of a 24-year-old male with history of Down syndrome who presented with severe right side pneumonia complicated with multicystic empyema resistant to regular medical therapy. Further investigation revealed a positive pleural fluid for E. histolytica cysts and trophozoites. The patient was diagnosed with primary pleuropulmonary amebiasis and he responded promptly to surgical drainage and metronidazole therapy. In patients from endemic areas all physicians should keep a high index of suspicion of amebiasis as a cause of pulmonary disease.http://dx.doi.org/10.1155/2016/8709347
spellingShingle Ali Zakaria
Bayan Al-Share
Khaled Al Asad
Primary Pulmonary Amebiasis Complicated with Multicystic Empyema
Case Reports in Pulmonology
title Primary Pulmonary Amebiasis Complicated with Multicystic Empyema
title_full Primary Pulmonary Amebiasis Complicated with Multicystic Empyema
title_fullStr Primary Pulmonary Amebiasis Complicated with Multicystic Empyema
title_full_unstemmed Primary Pulmonary Amebiasis Complicated with Multicystic Empyema
title_short Primary Pulmonary Amebiasis Complicated with Multicystic Empyema
title_sort primary pulmonary amebiasis complicated with multicystic empyema
url http://dx.doi.org/10.1155/2016/8709347
work_keys_str_mv AT alizakaria primarypulmonaryamebiasiscomplicatedwithmulticysticempyema
AT bayanalshare primarypulmonaryamebiasiscomplicatedwithmulticysticempyema
AT khaledalasad primarypulmonaryamebiasiscomplicatedwithmulticysticempyema