title: Primary Pulmonary Amebiasis Complicated with Multicystic Empyema.
abstract: 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.
authors.affiliation: Istishari Hospital, Department of Internal Medicine, Division of Pulmonology, Amman 11183, Jordan.
authors.forename: Ali
authors.identifier: 0000-0003-0183-1634
authors.initials: A
authors.lastname: Zakaria
authors.affiliation: Istishari Hospital, Department of Internal Medicine, Division of Pulmonology, Amman 11183, Jordan.
authors.forename: Bayan
authors.initials: B
authors.lastname: Al-Share
authors.affiliation: Istishari Hospital, Department of Internal Medicine, Division of Pulmonology, Amman 11183, Jordan.
authors.forename: Khaled
authors.initials: K
authors.lastname: Al Asad