Amebic pulmonary suppuration.
نویسندگان
چکیده
LEUROPULMONARY L E S I O N S NEXT TO P t h e liver are the most common extraintedinal manifestations of amebiasis. Since the original reports by Collin and Nixon' and Opie,' a good number of accounts based on clinical and necropsy data have appeared in the literature. In the majority of cases, pulmonary involvement is secondaxy to hepatic involvement. In approximately 75 per cent of the case$ the amebic liver abscess ruptures directly through the diaphragm giving rise to empyema, lung abscess, or a bronchohepatic fistula.' In others, a contiguous spread or a transdia~ h r a ~ m a t i c extension along the lymphatic channels may result in pulmonary involvement. It has also been described that hematogenous emboli can originate in the thrombcsed hepatic veins and reaching the inferior vena cava, may lodge in the pulmonary capillaries giving rise to abscess formation.' Girgis' reported multiple ahcesscs in the lung, liver and bowels. E.hirto lpica were demonstrated in these cavities, as well as in a rider embolus in a pulmonary artery branch. Cases of pulmonary amebiasis without hepatic involvement have also been described in the literature: the so called "primary pulmonary amebiasis.'"""' Batson' suggested that pulmonary involvement in such cases follows spread of infection along the vertebral system of veins which have anastomosis with other venous systems. .4mebic pulmonary suppuration generally involves the basal segment of the right lung, but involvement of the upper lobe" and middle lobe"'" have also been reported. Not infrequently a k e s s in the left lobe of the
منابع مشابه
[Amebic liver abcess at Bouake Teaching Hospital: diagnostic and therapeutic aspects about 46 cases].
AIMS To describe the diagnosis and therapeutic aspects of amebic liver abscesses. MATERIAL AND METHODS Retrospective study of 46 cases of amebic liver abcesses seen at Bouaké Teaching Hospital during the period from January 1997 to June 2002. RESULTS Three clinical pictures were carried out: painful and feverish hepatomegaly (n=28, 60.9%), fever with pain of the right hypochondrium (n=3, 6....
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متن کاملPulmonary Thromboembolism Complicating Amebic Liver Abscess: First Reported Case in the United States—Case Report and Literature Review
Even in the absence of Amebic colitis, Amebic liver abscess (ALA) is the most common extraintestinal complication of Entamoeba histolytica infection. In the USA, it is most prevalent in middle aged immigrant males from endemic countries such as Africa, Mexico, and India. One of the complications of ALA is inferior vena cava (IVC) thrombosis, which is believed to result from the mechanical compr...
متن کاملAmebic lung abscess with coexisting lung adenocarcinoma: a unusual case of amebiasis.
Amebic lung abscess with concurrent lung cancer, but without either a liver abscess or amebic colitis, is extremely uncommon. Here, we report a 70-year-old man presenting with pulmonary amebiasis and coexisting lung adenocarcinoma. During his first-time hospitalization, the diagnosis of lung amebiasis was confirmed by morphological observation and PCR in formalin-fixed and paraffin-embedded sed...
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ورودعنوان ژورنال:
- Diseases of the chest
دوره 51 2 شماره
صفحات -
تاریخ انتشار 1967