Amoebic Liver Abscess Multifocal with Bilateral Parapneumonic Effusion: A Case Report

Authors

  • Bayu Arief Hartanto Departement of Internal Medicine, Faculty of Medicine, Universitas Andalas, Padang 25175, Indonesia
  • Arnelis Division of Gastro Enterohepatology, Department of Internal Medicine, Faculty of Medicine, Universitas Andalas, Padang 25175, Indonesia
  • Fauzar Division of Pulmonology, Department of Internal Medicine, Faculty of Medicine, Universitas Andalas, Padang 25175, Indonesia
  • Wahyudi Division of Cardiology, Department of Internal Medicine, Faculty of Medicine, Universitas Andalas, Padang 25175, Indonesia

DOI:

https://doi.org/10.32734/sumej.v7i3.11844

Keywords:

Amoebic liver abscess, Parapneumonic effusion

Abstract

A liver abscess is defined as a pus-filled mass in the liver that can develop from injury to the liver or an intraabdominal infection disseminated from the portal circulation. The majority of these abscesses are categorized into pyogenic or amoebic, although a minority is caused by parasites and fungi. Most amoebic infections are caused by Entamoeba histolytica. Complications of amoebic liver is abscess Pleuropulmonary involvement, which is reported in 20–30% of patients. A male patient, 53 years old, was admitted to Hospital for Upper right abdominal pain, Fever, Cough, Pain in the lower right chest. Chest examination found weakened bronchovesicular breath sounds as high as RIC V, Pleural Friction Rub, wet crackles. Abdominal Examination found supel palpation, liver palpable 2 fingers below the arcus costae and 2 fingers below the process xiphoid, blunt edge, soft consistency, tenderness pain in the dextra hypochondrium. Laboratory report Anti Amoeba : Positive 40,3 unit. The patient was given intravenous metronidazole therapy 3x750 mg for 10 days. Complications of Amoebic Liver Abscess is Pleuropulmonary involvement. Pulmonary and pleural amebiasis is an uncommon disease, usually occurring on the right side of the lung compared to the left side. Pulmonary amoebiasis is a life-threatening, but treatable, condition.

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Published

2024-09-05

How to Cite

1.
Hartanto BA, Arnelis, Fauzar, Wahyudi. Amoebic Liver Abscess Multifocal with Bilateral Parapneumonic Effusion: A Case Report. Sumat. Med. J. [Internet]. 2024Sep.5 [cited 2024Dec.22];7(3):154-8. Available from: https://talenta.usu.ac.id/smj/article/view/11844

Issue

Vol. 7 No. 3 (2024): Sumatera Medical Journal (SUMEJ)

Section

Case Report

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