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Abstract
Diagnostic Imaging
A case of hepatic and pulmonary amebiasis with reddish brown sputum
Kengo Murataa Tetsuya Kashiyamab Akira Fujitaa
aDepartment of Respiratory Medicine, Tokyo Metropolitan Tama Medical Center
bDepartment of Emergency Medicine, Tokyo Metropolitan Tama Medical Center
ABSTRACT
A 32-year-old homosexual man with human immunodeficiency virus infection and a CD4 count of 65 cells/μl presented with a 1-week history of expectoration of reddish brown sputum. He was not receiving antiretroviral therapy at that time. Computed tomography (CT) revealed hepatic abscess formations extending into the subphrenic space and lung parenchyma. Serological testing for amoeba was positive. The patient was treated with oral metronidazole for 13 days, and copious amounts of reddish pus were drained via a catheter placed in the subphrenic space. At the 2-year follow-up visit, the patient was doing well and CT showed that the abscesses had resolved. This case suggests the usefulness of CT in detecting a thoracic communication of liver abscess.
KEYWORDS
Entamoeba histolytica Lung abscess Amebic liver abscess Subphrenic abscess Pulmonary amebiasis
Received 22 Mar 2011 ／ Accepted 14 Sep 2011
AJRS, 1(1): 83-87, 2012
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