title: [Pleuro-pulmonary manifestations disclosing hepatic amoebiasis].
abstract: During a mission in ex-Yugoslavia between 2001 and 2004, three French soldiers were sent home because of right pneumopathy, right pleurisy after appendicectomy, haemoptysis and liver haematoma, respectively. They previously were stationed in Africa and/or South America. The initial diagnosis was quickly modified: pleuropulmonary manifestations of amoebic hepatic abscess in two cases, and pleuropulmonary amoebiasis in the last case. The outcome was favourable with standard anti-amoebic treatment. The reports illustrate the possibility of hepatic amoebiasis with local pleuropulmonary manifestations and an exceptional case of pleuropulmonary amoebiasis with hepatobronchial fistula. The authors report this experience because it demonstrates that amoebiasis in European countries remains an often forgotten diagnosis. Although known for a long time in developing countries, amoebiasis in the military or in tourists should be systematically considered.
authors.affiliation: Service dePneumologie, Hôpital d'Instruction des Armées Percy, 101, Avenue Henri-Barbusse, BP 406, 92141, Clamart Cedex, France.
authors.forename: A
authors.initials: A
authors.lastname: Bonnichon
authors.forename: E
authors.initials: E
authors.lastname: Henninot
authors.forename: A
authors.initials: A
authors.lastname: Niang
authors.forename: F
authors.initials: F
authors.lastname: Grassin
authors.forename: J-M
authors.initials: JM
authors.lastname: Dot
authors.forename: P
authors.initials: P
authors.lastname: Saint Blancard
authors.forename: J-M
authors.initials: JM
authors.lastname: Debonne
authors.forename: P
authors.initials: P
authors.lastname: L'her
authors.forename: F
authors.initials: F
authors.lastname: Vaylet
authors.forename: J
authors.initials: J
authors.lastname: Margery
mesh_terms: D000328:Adult; D000562:Amebiasis / Q000175:diagnosis; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D001983:Bronchial Fistula / Q000188:drug therapy / Q000469:parasitology* / Q000601:surgery; D003906:Developing Countries; D016154:Digestive System Fistula / Q000469:parasitology; D004748:Entamoeba histolytica / Q000302:isolation & purification; D006801:Humans; D008099:Liver / Q000469:parasitology; D008101:Liver Abscess, Amebic / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D008174:Lung Diseases, Parasitic / Q000175:diagnosis; D008297:Male; D008889:Military Personnel; D010996:Pleural Effusion / Q000469:parasitology; D016896:Treatment Outcome
chemical_list: D000981:Antiprotozoal Agents