Rachid H, Alaoui Yazidi A, Loudadssi F, El Biaze M, Bakhatar A, Yassine N, El Meziane A, Bahlaoui A
Service des Maladies Respiratoires, Hôpital Ibn Rochd, Casablanca, Maroc.
Rev Mal Respir. 2005 Dec;22(6 Pt 1):1035-7. doi: 10.1019/200530172.
Pleuropulmonary involvement is the second most common extra-intestinal manifestation of entamoeba histolytica infection after liver abscess.
We report 2 cases of pleuropulmonary disease occurring in two men aged 32 and 48 years following an episode of dysentery. Purulent pleural infection was noted in one case. In the other both lung and liver abscesses occurred.
The diagnosis was confirmed by strongly positive serology in both cases. Treatment with metronidazole (1.5 g per day) for 15 days combined with pleural drainage led to a satisfactory outcome in both cases.
胸膜肺部受累是溶组织内阿米巴感染仅次于肝脓肿的第二常见肠外表现。
我们报告2例胸膜肺部疾病，发生于2名分别为32岁和48岁的男性，在痢疾发作之后。1例发现有脓性胸膜感染。另一例则同时出现肺脓肿和肝脓肿。
两例病例血清学检查均呈强阳性，确诊为此病。两例患者均采用甲硝唑（每日1.5克）治疗15天并结合胸腔引流，取得了满意疗效。
