Thoracic amebiasis

Introduction to chest amebiasis In the case of parenteral amebiasis, the incidence of lung and pleural amebiasis is second only to the liver, and the right side of the chest amoebia is frequent and mostly secondary to the hepatic amoebic abscess near the diaphragm, and the hepatic amoebic abscess It is a late complication of intestinal amebiasis. Chest amebiasis accounts for 1% to 8% of amoebic dysentery and 15% to 20% of hepatic amebiasis. basic knowledge The proportion of illness: 0.005% Susceptible people: no special people Mode of infection: fecal-mouth transmission Complications: lung abscess brain abscess

Cause of chest amebiasis

Most of the hepatic amoebic abscess is located at the top of the liver. It often invades or pierces the diaphragm to form a lung abscess in the right lower or middle lobe. Some also resemble a hepatic echinococcal cyst. After breaking into the diaphragm, he forms a liver-bronchial spasm and makes a liver abscess. Evacuation self-healing; or the formation of amoebic abscess; pleural effusion may also occur without breaking the diaphragm, a small number of lung abscesses through the blood pathway, liver amygdala abscess can also be complicated by left chest or pericardium amoeba Disease, when a cardiac tamponade occurs, the pericardial effusion can be puncture multiple times, and if necessary, pericardial incision and drainage.

Chest amebiasis prevention

Prepare for prevention and promptly find timely treatment.

Chest amebic disease complications Complications lung abscess brain abscess

Cough chocolate, high fever, night sweats, purulent sputum

Chest amebiasis symptoms Common symptoms High heat dry cough, night sweats, breathing difficulties, chest pain, pleural pleural effusion, pleural shock, loss of appetite, weakened breath sounds

Chest pain, there may be radiation pain in the shoulder and back, dry cough with a small amount of sticky or purulent, cough in the lung abscess is a typical chocolate color, and there are high fever, night sweats, loss of appetite and other systemic symptoms, amoebic liver abscess After the lungs and bronchi, you can suddenly cough up a lot of chocolate-colored purulent sputum with severe chest pain and difficulty in breathing. Occasionally, pleural shock, eventually forming a hepatic sacral pleural cavity, also wearing the skin to form the liver, licking the skin, viscous chocolate pus Liquid, long-term unhealed, physical examination can have right lung consolidation, respiratory sounds weakened, wet voice or pleural effusion, combined with liver abscess can have liver tenderness, 50% combined with clubbing.

Chest amebic disease examination

X-ray examination showed the shadow of the lung abscess in the right lower lobe and surrounded by cloud-like infiltrates. Most of them were located in the anterior base. When the bronchus was connected, the liquid level and the irregular abscess wall were visible. The right diaphragm was obviously pleural reaction, and the activity was restricted and elevated. Bronchial inflammatory changes such as increased lung texture can be seen in the source lung amebiasis.

Diagnosis and identification of chest amoebiasis

Physical examination may have consolidation of the right lung, weakened breath sounds, wet voice or pleural effusion, combined with liver abscess may have hepatomegaly tenderness, 50% combined with clubbing.

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