Primary pulmonary amebic abscess in a patient with pulmonary adenocarcinoma: a case report
| Autor: | Chong Chen, Ling Yun Shao, Yue Ying, Yue Kai Hu, Yuan Yuan Liu, Xun Jia Cheng, Feifei Yang, Yuxian Huang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Male medicine.medical_specialty China Percutaneous Lung Neoplasms Lung Diseases Parasitic medicine.medical_treatment 030231 tropical medicine Antiprotozoal Agents Case Report Adenocarcinoma of Lung Antineoplastic Agents Lung biopsy Adenocarcinoma lcsh:Infectious and parasitic diseases 03 medical and health sciences 0302 clinical medicine Metronidazole medicine Humans lcsh:RC109-216 Pulmonary adenocarcinoma Abscess Immunodeficiency Aged Chemotherapy Lung business.industry lcsh:Public aspects of medicine Entamoeba histolytica Public Health Environmental and Occupational Health lcsh:RA1-1270 General Medicine Amebiasis medicine.disease Pulmonary amebic abscess Surgery 030104 developmental biology Infectious Diseases medicine.anatomical_structure business medicine.drug |
| Zdroj: | Infectious Diseases of Poverty Infectious Diseases of Poverty, Vol 7, Iss 1, Pp 1-5 (2018) |
| ISSN: | 2049-9957 2095-5162 |
| Popis: | Background Primary pulmonary amoeba is very rare and here we report a case of a 68-year-old man presenting with primary pulmonary amoeba after undergoing chemotherapy for lung adenocarcinoma. Case presentation In October 2016, the man aged 68 was admitted to our hospital because of repeated cough for 8 months and hemoptysis for 1 month. He was diagnosed lung adenocarcinoma and underwent surgery in 2012 without receiving chemotherapy. In March 2016, the patients suffered recurrence of cancer and was treated with chemotherapy. After 2 months of chemotherapy, the patient had consistent cough with white sputum, and chest CT showed a local lung nodule. The physicians suspected that the patient had pulmonary infectious diseases, and he was treated with empirical antibacterial treatment. However, his symptom wasn’t relieved and later the percutaneous lung biopsy found trophozites of Entamoeba histolytica. After administration of metronidazole, the symptoms of the patient were markedly relieved and the lesions were absorbed. Conclusions In such cases where patients with pulmonary nodules were in immunodeficiency state and had adequate but ineffective anti-bacterial treatment, Entamoeba histolytica infection could be one of the rare causes. Percutaneous lung biopsy should be recommended and specific dying for parasites should be done when necessary. Electronic supplementary material The online version of this article (10.1186/s40249-018-0419-2) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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