Massive pleural empyema secondary to amoebic liver abscess in a child

Copyright: © 2023 Permanyer..

BACKGROUND: Pleural empyema secondary to a ruptured amoebic liver abscess is a rare complication in the pediatric population.

CASE REPORT: We report the case of a 13-year-old male with right flank abdominal pain, productive cough with foul-smelling sputum, fever, and respiratory distress. Physical examination revealed breathlessness, decreased vesicular murmur in the right hemithorax, abdominal distension, hepatomegaly, and lower limb edema. Laboratory tests revealed mild anemia, leukocytosis without eosinophilia, elevated alkaline phosphatase, hypoalbuminemia, and positive immunoglobulin G antibodies against Entamoeba histolytica in pleural fluid. He required a chest tube and treatment with metronidazole. After 2 months of follow-up, the abscesses disappeared, and the empyema decreased.

CONCLUSIONS: Massive pleural empyema secondary to a ruptured liver abscess is a rare complication. The epidemiological link associated with the symptoms and serological tests can help in the diagnosis.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:80

Enthalten in:

Boletin medico del Hospital Infantil de Mexico - 80(2023), 4 vom: 13., Seite 265-268

Sprache:

Englisch

Weiterer Titel:

Empiema pleural masivo secundario a absceso hepático amebiano en un niño

Beteiligte Personen:

Nuñez-Paucar, Héctor [VerfasserIn]
Zamudio-Aquise, Mariela K [VerfasserIn]
Valera-Moreno, Carlos [VerfasserIn]
Ccorahua-Rios, Maycol S [VerfasserIn]
Atamari-Anahui, Noé [VerfasserIn]

Links:

Volltext

Themen:

Absceso hepático amebiano
Amebic liver abscess
Case Reports
Empiema pleural
Entamoeba histolytica
Journal Article
Metronidazol
Metronidazole
Paciente pediátrico
Pediatric patient
Pleural empyema

Anmerkungen:

Date Completed 15.09.2023

Date Revised 27.09.2023

published: Print

Citation Status MEDLINE

doi:

10.24875/BMHIM.23000041

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362008574