CHILDRESS M E, DANIELS A C
Calif Med. 1956 Dec;85(6):369-75.
Pleuropulmonary amebiasis may be manifest without diarrhea or dysentery.In obscure lesions of the right lower lung field, one should always consider pleuropulmonary amebiasis-especially with low grade fever and moderate leukocytosis. Abscess and empyema contents should be examined promptly microscopically or kept warm to preserve the motility of the trophozoites until satisfactory examination is possible. Conservative therapy will successfully manage most cases of pleuropulmonary amebiasis. If a thorough search fails to reveal Entameba histolytica, and the diagnosis is still entertained, a medical therapeutic trial is in order.
肺胸膜阿米巴病可能在没有腹泻或痢疾的情况下出现。在右下肺野的隐匿性病变中,应始终考虑肺胸膜阿米巴病,尤其是伴有低热和中度白细胞增多时。脓肿和脓胸的内容物应立即进行显微镜检查,或保持温暖以保存滋养体的活力,直到能够进行满意的检查。保守治疗能成功处理大多数肺胸膜阿米巴病病例。如果全面检查未能发现溶组织内阿米巴,而仍怀疑诊断,则应进行药物治疗试验。