title: Trichomonas empyema with respiratory failure.
abstract: Pulmonary trichomoniasis is rare, and few cases of trichomonas empyema have been reported in the literature. We describe a rare case of a non-immunocompromised 55-year-old man with Trichomonas empyema presenting with bilateral pleural effusion leading to respiratory failure. Examination of the pleural effusion showed numerous motile organisms by fresh wet preparation that were identified as Trichomonas species by Liu stain. The patient was successfully treated with metronidazole, ampicillin/clavunalate, fibrinolytic therapy, and thoracotomy decortication.
authors.affiliation: Section of Infectious Diseases, Department of Internal Medicine, En-Chu-Kong Hospital, Sanshia, Taipei County, Taiwan. clae@ms10.hinet
authors.forename: Hua-Kung
authors.initials: HK
authors.lastname: Wang
authors.forename: Jih Shuin
authors.initials: JS
authors.lastname: Jerng
authors.forename: Kua-Eyre
authors.initials: KE
authors.lastname: Su
authors.forename: Shan-Chwen
authors.initials: SC
authors.lastname: Chang
authors.forename: Pan-Chyr
authors.initials: PC
authors.lastname: Yang
mesh_terms: D000818:Animals; D006801:Humans; D008297:Male; D008875:Middle Aged; D010996:Pleural Effusion; D012131:Respiratory Insufficiency / Q000000981:diagnostic imaging / Q000469:parasitology*; D014057:Tomography, X-Ray Computed; D014244:Trichomonas / Q000302:isolation & purification; D014245:Trichomonas Infections / Q000175:diagnosis* / Q000000981:diagnostic imaging