Department of Critical care Medicine, Affiliated Hospital of Zunyi Medical University, Dalian Road 149, Zunyi City, 563003, Guizhou, China.
Department of Pathology, Affiliated Hospital of Zunyi Medical University, Zunyi City, 563003, Guizhou, China.
BMC Infect Dis. 2022 Apr 11;22(1):364. doi: 10.1186/s12879-022-07348-9.
Amoebiasis is caused by the protozoan Entamoeba histolytica, which is a rare infectious disease in developed countries. If the trophozoites enter the blood, it can spread through the body, such as brain, and lungs. Cases of simultaneous infection of multiple organs are extremely rare.
Here we report a case of simultaneous infection of amoeba in pulmonary pleura, urinary system and central nervous system. Although the patient received anti amoeba treatment, the prognosis of the patient was poor.
In this patient, multiple extraintestinal amebic infections in the absence of clinically confirmed intestinal amebiasis or amebic liver abscess are rare and pose diagnostic challenges. The disseminated amebiasis has significantly increased the mortality. Early diagnosis and appropriate treatment may reduce the mortality of disseminated amebiasis.
阿米巴病是由原生动物溶组织内阿米巴引起的，在发达国家是一种罕见的传染病。如果滋养体进入血液，它可以通过身体传播，如大脑和肺部。同时感染多个器官的病例极为罕见。
本文报告了一例肺胸膜、泌尿系统和中枢神经系统同时感染阿米巴的病例。尽管患者接受了抗阿米巴治疗，但患者的预后较差。
在本例患者中，在无临床确诊的肠阿米巴病或肝阿米巴脓肿的情况下，出现多个肠外阿米巴感染较为罕见，且具有诊断挑战性。播散性阿米巴病显著增加了死亡率。早期诊断和适当的治疗可能会降低播散性阿米巴病的死亡率。
