Abstract
SUMMARY (1) Pleuropulmonary complications of amebic hepatitis or abscess are best treated by surgical measures, accompanied by specific chemotherapy. (2) Methods of diagnosis were as follows: (a) Clinical diagnosis of hepatitis or liver abscess with pleuropulmonary complications led to a correct diagnosis in most instances. Discharge which was “anchovy sauce” in nature was considered highly suspicious of amebic origin. (b) Scrapings for microscopic study of the wall of the abscess for E. histolytica. (c) Sinusograms to prove concomitant liver abscess communicating with a pleuropulmonary component. (d) Sputum examination for endameba and muscle fibers (Mason-Bahr). 4 (e) Stool or sigmoidoscopic examinations yielded positive results for amebic cysts in ten cases. (3) Surgical procedures were: simple aspiration of pleural effusions (ten cases), empyema drainage (one case), lobectomy (two cases), drainage of liver abscess (two cases), decortication of right lower lobe and drainage of abscess (one case). (4) All 16 patients have a followup of three months to five years.
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