Division of General Thoracic Surgery, Integrative Center of General Surgery, Gunma University Hospital, 3-39-22, Showa-Machi, Maebashi, 371-8511, Gunma, Japan.
Department of General Thoracic Surgery, Japanese Red Cross Maebashi Hospital, Maebashi, Gunma, Japan.
BMC Pulm Med. 2023 Apr 14;23(1):117. doi: 10.1186/s12890-023-02412-9.
Pleuropulmonary amebiasis is the second most common form of extraintestinal invasive amebiasis, but cases that include bronchopleural fistula are rare.
A 43-year-old male was referred to our hospital for liver abscess, right pleural effusion, and body weight loss. He was diagnosed with a bronchopleural fistula caused by invasive pleuropulmonary amebiasis and human immunodeficiency virus (HIV) infection. After initial medical treatment for HIV infection and invasive amebiasis, he underwent pulmonary resection of the invaded lobe. Intraoperative inspection revealed a fistula of the right basal bronchus in the perforated lung abscess cavity, but the diaphragm was intact. The patient was discharged on postoperative day 3 and was in good condition at the 1-year follow-up.
Clinicians should be aware that pleuropulmonary amebiasis can cause a bronchopleural fistula although it is very rare.
肺胸膜阿米巴病是仅次于肠外侵袭性阿米巴病的第二常见形式，但包括支气管胸膜瘘在内的病例较为罕见。
一名 43 岁男性因肝脓肿、右侧胸腔积液和体重减轻被转诊至我院。他被诊断为侵袭性肺胸膜阿米巴病和人类免疫缺陷病毒（HIV）感染引起的支气管胸膜瘘。在最初针对 HIV 感染和侵袭性阿米巴病的治疗后，他接受了受侵犯肺叶的肺切除术。术中检查发现穿孔性肺脓肿腔内右侧基底支气管有瘘管，但膈肌完整。患者术后第 3 天出院，在 1 年随访时情况良好。
临床医生应该意识到，尽管肺胸膜阿米巴病引起支气管胸膜瘘非常罕见，但仍应注意。
