title: An amebic lung abscess: report of a case.
abstract: Recently the number of amebiasis cases has increased in Japan. Pleuropulmonary amebiasis is a very rare complication of liver amebiasis. We report herein the case of a 54-year-old man presenting with an amebic lung abscess in his right lower lung. The diagnosis of lung amebiasis was established from a direct examination of the pus in which trophozoites of Entamoeba histolytica were detected. After the oral administration of metronidazole, the laboratory findings improved and he thus underwent a right lower lobectomy. He was discharged without any relapse of infection 20 days after a thoracotomy. We conclude that a protozoan infection should thus be suspected in the case of a pleuropulmonary infection in which several types of antibiotics prove to be ineffective.
authors.affiliation: Respiratory Division, Kyoto Katsura Hospital, Nishikyo, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Teramoto
authors.forename: N
authors.initials: N
authors.lastname: Yamashita
authors.forename: M
authors.initials: M
authors.lastname: Kuwabara
authors.forename: T
authors.initials: T
authors.lastname: Hanawa
authors.forename: T
authors.initials: T
authors.lastname: Matsui
authors.forename: Y
authors.initials: Y
authors.lastname: Matsubara
mesh_terms: D000562:Amebiasis / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D000890:Anti-Infective Agents / Q000627:therapeutic use; D006801:Humans; D008169:Lung Abscess / Q000188:drug therapy / Q000469:parasitology* / Q000601:surgery; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use; D008875:Middle Aged; D011013:Pneumonectomy
chemical_list: D000890:Anti-Infective Agents; D008795:Metronidazole