Amoebic liver abscess with right pleural empyema. About a case
Abstract
Introduction: amebic liver abscess and pleural empyema are serious and infrequent complications of amebic dysentery, requiring timely drug treatment or surgical drainage. Usually drugs of the nitroimidazole group are used (metronidazole is the most used) and, if not effective, evacuation puncture is used under ultrasonographic control or drainage by conventional or laparoscopic surgery. Although it occurs infrequently, the abscess break into the abdominal, pleural or pericardial cavities can be fatal.
Presentation of the case: a 22-year-old male patient with a history of an intestinal condition with colic pain, who subsequently presented fever and progressive deterioration of the general condition. He was admitted to the Integral Diagnosis Center "Salvador Allende" in Caracas, Bolivarian Republic of Venezuela, with high fever and respiratory symptoms. Imaging examinations revealed a liver abscess of probable amoebic etiology and a pleural spillover. In spite of the medical treatment, the patient's evolution was torpid. Percutaneous drainage of the hepatic abscess and minimal pleurotomy of the pleural empyema were carried out, which resulted in a significant improvement in his condition and subsequently he was discharged.
Conclusions: timely surgical treatment with evacuation puncture and aspiration in cases of amebic liver abscess and secondary pleural empyema contributes to decrease the length of hospital stay and morbidity and mortality due to these conditions.Downloads
Published
How to Cite
Issue
Section
License
Those authors who have publications with this journal accept the following terms of the License CC Attribution-NonCommercial 4.0 International (CC BY-NC 4.0):
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes .
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
The journal is not responsible for the opinions and concepts expressed in the works, which are the exclusive responsibility of the authors. The Editor, with the assistance of the Editorial Committee, reserves the right to suggest or request advisable or necessary modifications. Original scientific works are accepted for publication, as are the results of research of interest that have not been published or sent to another journal for the same purpose.
The mention of trademarks of specific equipment, instruments or materials is for identification purposes, and there is no promotional commitment in relation to them, neither by the authors nor by the editor.
