Agrawal B V, Somani P N, Khanna M N, Srivastava P K, Jha B N, Verma S P
Am Surg. 1975 Jun;41(6):373-7.
Two rare cases of amebic pericardial effusion as a complication of amoebic liver abscess in the left lobe are described. The pericardial amebiasis should be suspected in a patient presenting with signs and symptoms of pericardial effusion with an evidence of hepatic abscess (in the left lobe) or in a patient with pericardial effusion of uncertain etiology. Aspiration of "anchovy sauce" pus from both the pericardial cavity and the liver should be regarded as confirming the diagnosis of amebic pericarditis secondary to amebic liver abcess because demonstration of Entamoeba hystolytica is seldom possible. Removal of pericardial pus and metronidazole intake were markedly effective in treating our patients.
本文描述了两例罕见的阿米巴心包积液病例，这是左叶阿米巴肝脓肿的一种并发症。对于出现心包积液体征和症状且有（左叶）肝脓肿证据的患者，或病因不明的心包积液患者，应怀疑有心包阿米巴病。从心包腔和肝脏吸出“鱼酱样”脓液应被视为确诊阿米巴肝脓肿继发的阿米巴心包炎，因为很少能检测到溶组织内阿米巴。清除心包脓液和服用甲硝唑对我们的患者治疗效果显著。
