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PULMONARY AMEBIASIS COMPLICATED WITH MASSIVE LEFT EMPYEMA AND RESPIRATORY FAILURE: A CASE REPORT


 
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1. Title Title of document PULMONARY AMEBIASIS COMPLICATED WITH MASSIVE LEFT EMPYEMA AND RESPIRATORY FAILURE: A CASE REPORT
 
2. Creator Author's name, affiliation, country Kristin Purnama Dewi; 1. Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia 2. Department of Pulmonology and Respiratory Medicine, Dr. Soetomo General Hospital, Surabaya, Indonesia; Indonesia
 
2. Creator Author's name, affiliation, country Yulia Devina Suci; 1. Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia 2. Department of Pulmonology and Respiratory Medicine, Dr. Soetomo General Hospital, Surabaya, Indonesia; Indonesia
 
2. Creator Author's name, affiliation, country Ivana Purnama Dewi; 1. Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia 2. Department of Cardiology and Vascular Medicine, Dr. Soetomo General Hospital, Surabaya, Indonesia; Indonesia
 
2. Creator Author's name, affiliation, country Iswanto Iswanto; Department of Pulmonology and Respiratory Medicine, Bethesda Academic Hospital, Yogyakarta, Indonesia; Indonesia
 
3. Subject Discipline(s) medicine, respiratory, pulmonary, infection
 
3. Subject Keyword(s) Pulmonary amebiasis, massive empyema, respiratory failure
 
4. Description Abstract

Introduction: Amebiasis is defined as a parasitic infection with the protozoan Entamoeba histolytica. Amebiasis in pulmonary and pleural tissue is the second common location of extraintestinal amebias is after amoebic liver abscess. Pulmonary and pleural amebiasishappens in 2-3% of invasive amebiasis patients with mortality rate 5-16%.

Case: We report a 22-year-old man with the chief complaint of dyspnea for one  week. The patient also felt pain in the left chest, had productive cough and fever. He had a history of dysentery one month ago. BGA evaluation confirmed patient had respiratory failure type 1 with PCO2 35 and PO2 46.1. Thoracentesis was performed, the result was brown milk (anchovy paste) color and pleural fluid analysis revealed positive Entamoeba histolytica. Antimicrobial therapy and drainage were given with excellent response.

Conclusion: Pulmonary and pleural amebiasis is an uncommon disease, usually occurring on the right side of the lung compared to the left side and rarely causing respiratory failure. Pulmonary amebiasis is a life-threatening, but treatable, condition. Antimicrobial therapy and drainage is an important strategy in pulmonary amebiasis management.
 
5. Publisher Organizing agency, location Association of medical doctors "Sanamed" Novi Pazar
 
6. Contributor Sponsor(s) No
 
7. Date (YYYY-MM-DD) 2020-05-27
 
8. Type Status & genre Peer-reviewed Article
 
8. Type Type
 
9. Format File format PDF
 
10. Identifier Uniform Resource Identifier https://www.sanamed.rs/OJS/index.php/Sanamed/article/view/390
 
10. Identifier Digital Object Identifier http://dx.doi.org/10.24125/sanamed.v15i1.390
 
11. Source Title; vol., no. (year) SANAMED; Vol 15, No 1 (2020): SANAMED
 
12. Language English=en en
 
13. Relation Supp. Files Author statement and Conflict of interest (587KB)
 
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
 
15. Rights Copyright and permissions Copyright (c) 2020 Ivana Purnama Dewi, Kristin Purnama Dewi, Iswanto Iswanto, Yulia Devina Suci
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.