A case report of pulmonary amoebiasis with Entamoeba histolytica diagnosed in western Romania.
BACKGROUND
Among parasitic diseases, amoebiasis is the third most frequent cause of mortality after malaria and schistosomiasis. Pulmonary amoebiasis, the second most common extraintestinal manifestation of infection, occurs in 2%-3% of patients with invasive amoebiasis. The present clinical report aims to present a single case of a rare diagnosed parasitic disease in Romania and to emphasize the difficulties encounted while attempting to establish the correct diagnosis and to completely cure the patient.


METHODS
Retrospective analysis of all medical records of a patient hospitalized at Victor Babes Hospital of Infectious Diseases in Timisoara, Romania, and diagnosed with pulmonary amoebiasis.


CONCLUSIONS
The disease debuted in 1996 with intestinal symptomatology and was not diagnosed at that time. Thus evolution continued for another five years ending with the invasion of the lung. Differential diagnosis with a bacterial abscess, tuberculous abscess, and neoplastic disease were considered. A routine microscopic examination of the sputum finally clarified the diagnosis during a second hospitalization pointing out the importance of collaboration between the infectious disease clinicians and parasitologists.
Neghina
Raul
R
Department of Parasitology, Victor Babes University of Medicine and Pharmacy Timisoara, Romania. raul.neghina@gmail.com
Neghina
Adriana A
AA
Merkler
Carmen
C
Marincu
Iosif
I
Iacobiciu
Ioan
I
D000981:Antiprotozoal Agents / Q000008:administration & dosage; D004748:Entamoeba histolytica / Q000187:drug effects / Q000302:isolation & purification*; D004749:Entamoebiasis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology; D006801:Humans; D008169:Lung Abscess / Q000188:drug therapy / Q000209:etiology; D008174:Lung Diseases, Parasitic / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology; D008297:Male; D008795:Metronidazole / Q000008:administration & dosage; D008875:Middle Aged; D012383:Romania; D013183:Sputum / Q000469:parasitology; D016896:Treatment Outcome
D000981:Antiprotozoal Agents; D008795:Metronidazole