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免疫功能低下患者中酷似肺肿瘤的原发性肺阿米巴病:一例报告

Primary pulmonary amoebiasis mimicking lung tumour in immunocompromised patient: A case report.

作者信息

Putra Andika Chandra, Chyntia Bernadina, Winardi Emon, Johan Maisie, Pradwiyanto Albertus Ardian, Tambun Renaningtyas, Wiyono Wiwien Heru, Alatas Fahmi

机构信息

Department of Pulmonology St. Carolus Hospital Jakarta Indonesia.

Department of Pulmonology and Respiratory Medicine, Faculty of Medicine Universitas Indonesia Jakarta Indonesia.

出版信息

Respirol Case Rep. 2023 Jul 25;11(8):e01199. doi: 10.1002/rcr2.1199. eCollection 2023 Aug.

Abstract

Amoebiasis is the most common protozoan disease caused by . The second most frequent extraintestinal infection, behind amoebic liver abscess, is pulmonary amoebiasis. We present the case of an immunocompromised 40-year-old man. He complained of cough for 1 month, shortness of breath, and fever. Chest x-ray demonstrated left paracardial consolidation, possibly pneumonia or a mass. Chest CT scans with contrast revealed the presence of an abscess-mimicking tumour. CT-guided TTB and histology examinations indicated the presence of trophozoites of . This patient was diagnosed with pulmonary amoebiasis. Diagnostic criteria for pulmonary amoebiasis include clinical manifestations, radiography, and microscopic examination. There was an improvement in clinical response after a 10-day course of antibiotics. Amoebiasis of the lungs is treatable with medicines and drainage when necessary. Early diagnosis and treatment are imperative to decrease mortality and morbidity.

摘要

阿米巴病是由……引起的最常见的原生动物疾病。仅次于阿米巴肝脓肿的第二常见的肠外感染是肺阿米巴病。我们报告一例40岁免疫功能低下男性的病例。他主诉咳嗽1个月、呼吸急促和发热。胸部X光显示心旁左侧实变,可能是肺炎或肿块。增强胸部CT扫描显示存在一个类似脓肿的肿瘤。CT引导下经胸壁活检和组织学检查表明存在……的滋养体。该患者被诊断为肺阿米巴病。肺阿米巴病的诊断标准包括临床表现、影像学检查和显微镜检查。经过10天的抗生素治疗后临床反应有所改善。肺部阿米巴病在必要时可通过药物治疗和引流进行治疗。早期诊断和治疗对于降低死亡率和发病率至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c0/10368964/ab43d9acd92c/RCR2-11-e01199-g001.jpg

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