{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T22:10:29Z","timestamp":1761948629005,"version":"build-2065373602"},"reference-count":21,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,10,19]]},"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:p>\n                    Amoebic liver abscesses, caused by\n                    <jats:italic>Entamoeba histolytica<\/jats:italic>\n                    , can rarely rupture into the pleural space, leading to massive pseudohaemoptysis. We report a case of a patient who presented with severe haemoptysis, later diagnosed with a ruptured amoebic liver abscess. Despite a negative pus culture, a positive\n                    <jats:italic>E. histolytica<\/jats:italic>\n                    IgM test confirmed the diagnosis. The patient was managed with intravenous metronidazole and ceftriaxone, along with pigtail catheter drainage, leading to a full recovery. This case highlights the importance of considering hepatic abscess rupture in unexplained haemoptysis and emphasises the role of serological testing when cultures are inconclusive. Prompt antimicrobial therapy and drainage are essential for optimal outcomes.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2025-265428","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T22:05:14Z","timestamp":1761948314000},"page":"e265428","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Unusual presentation of amoebic liver abscess with pseudohaemoptysis"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-2687-3529","authenticated-orcid":false,"given":"Akash","family":"Paruthi","sequence":"first","affiliation":[{"name":"Department of General Medicine, Sawai Man singh Medical College and Hospital, Jaipur, Rajasthan, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Swati","family":"Srivastava","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Sawai Man singh Medical College and Hospital, Jaipur, Rajasthan, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajendra Kumar","family":"Kasana","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Sawai Man singh Medical College and Hospital, Jaipur, Rajasthan, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashwani Kumar","family":"Vyas","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Sawai Man singh Medical College and Hospital, Jaipur, Rajasthan, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hansraj Singh","family":"Rajpurohit","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Sawai Man singh Medical College and Hospital, Jaipur, Rajasthan, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaurav","family":"Meena","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Sawai Man singh Medical College and Hospital, Jaipur, Rajasthan, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rishabh","family":"Chiraniya","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Sawai Man singh Medical College and Hospital, Jaipur, Rajasthan, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,10,31]]},"reference":[{"key":"2025103115050820000_18.10.e265428.1","first-page":"1181","article-title":"Early prediction of in-hospital mortality of patients with hemoptysis: an approach to defining severe hemoptysis","volume":"163","author":"Fartoukh","year":"2003","journal-title":"Arch Intern Med"},{"key":"2025103115050820000_18.10.e265428.2","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00102108"},{"key":"2025103115050820000_18.10.e265428.3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra022710"},{"key":"2025103115050820000_18.10.e265428.4","first-page":"S83","article-title":"Management of amebic liver abscess","volume":"22","author":"Sharma","year":"2003","journal-title":"Indian J Gastroenterol"},{"key":"2025103115050820000_18.10.e265428.5","first-page":"23","article-title":"Hepatobronchial fistula secondary to ruptured amebic liver abscess","volume":"4","author":"Abulhasan","year":"2009","journal-title":"Ann Thorac Med"},{"key":"2025103115050820000_18.10.e265428.6","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1097\/00005792-197707000-00003","article-title":"Invasive amebiasis. 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