感染症学雑誌
Online ISSN : 1884-569X
Print ISSN : 0387-5911
ISSN-L : 0387-5911
症例
アメーバ性肺膿瘍の2 例
宮川 倫子望月 吉郎中原 保治河村 哲治佐々木 信岡本 裕子塚本 宏壮水守 康之真弓 哲一郎田畑 寿子横山 俊秀渡部 悦子後藤 孝吉
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2010 年 84 巻 4 号 p. 464-468

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Case1 : A 74-year-old man having a weekʼs fever and diagnosed with a liver abscess was treated with several antibiotics and percutaneous liver drainage. His respiration gradually worsened and chest computed tomography (CT) showed right pleural effusion and a left-lung mass. Percutaneous fine needle aspiration of the pulmonary mass detected Entamoeba histolytica. Case2 : A 44-year old, zoo office worker admitted for fever and right chest pain was found in CT to have right pleural effusion and a mass with a liver abscess necessitating abscess drainage. Injected contrast medium detected a fistula connected to the right. Following surgical drainage, E. histolytica was detected from the resected lung. Both cases responded well to metronidazole.

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© 2010 社団法人 日本感染症学会
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