{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T13:41:58Z","timestamp":1745761318071,"version":"3.40.4"},"reference-count":14,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,5,20]]},"abstract":"<jats:p>Amoebiasis is an uncommon infection in developed countries caused by the protozoan<jats:italic>Entamoeba histolytica<\/jats:italic>. Amoebic liver abscess is the most frequent extraintestinal presentation of the disease; pleuropulmonary involvement is rare, occurring mostly by rupture of the abscess into the pleural space or lung parenchyma. We describe a case of a 48-year-old migrant from S\u00e3o Tom\u00e9 e Pr\u00edncipe, with fever, wasting, dry cough and right upper abdominal pain for the past 2\u2005months. The CT scan revealed a voluminous liver abscess with thrombosis of the right suprahepatic and inferior vena cava, right pulmonary lobar abscess and multiple diffuse condensations in both lungs. Aspirated pus resembled anchovy sauce; blood and aspirated material cultures for infectious agents were negative. Serology for<jats:italic>E. histolytica<\/jats:italic>was positive, and the diagnosis of hepatopulmonary amoebiasis with infectious phlebitis was confirmed by positive PCR in the liver pus. Treatment with metronidazole+paramomycin led to clinical and radiological resolution.<\/jats:p>","DOI":"10.1136\/bcr-2014-204129","type":"journal-article","created":{"date-parts":[[2014,8,25]],"date-time":"2014-08-25T10:37:57Z","timestamp":1408963077000},"page":"bcr2014204129","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["An uncommon case of hepatopulmonary amoebiasis"],"prefix":"10.1136","volume":"2014","author":[{"given":"Catarina","family":"Patr\u00edcio","sequence":"first","affiliation":[]},{"given":"Patr\u00edcia","family":"Amaral","sequence":"additional","affiliation":[]},{"given":"Jo\u00e3o","family":"Louren\u00e7o","sequence":"additional","affiliation":[]}],"member":"239","published-online":{"date-parts":[[2014,8,25]]},"reference":[{"doi-asserted-by":"publisher","key":"2025042706244005000_2014.aug24_1.bcr2014204129.1","DOI":"10.1097\/00000658-199605000-00016"},{"doi-asserted-by":"publisher","key":"2025042706244005000_2014.aug24_1.bcr2014204129.2","DOI":"10.1093\/qjmed\/95.12.797"},{"doi-asserted-by":"publisher","key":"2025042706244005000_2014.aug24_1.bcr2014204129.3","DOI":"10.1086\/425616"},{"doi-asserted-by":"publisher","key":"2025042706244005000_2014.aug24_1.bcr2014204129.4","DOI":"10.1056\/NEJMra022710"},{"doi-asserted-by":"publisher","key":"2025042706244005000_2014.aug24_1.bcr2014204129.5","DOI":"10.1016\/S1413-8670(10)70077-5"},{"doi-asserted-by":"publisher","key":"2025042706244005000_2014.aug24_1.bcr2014204129.6","DOI":"10.1016\/S0272-5231(01)00008-9"},{"doi-asserted-by":"publisher","key":"2025042706244005000_2014.aug24_1.bcr2014204129.7","DOI":"10.1016\/j.jemermed.2007.05.045"},{"key":"2025042706244005000_2014.aug24_1.bcr2014204129.8","doi-asserted-by":"crossref","first-page":"74","DOI":"10.4269\/ajtmh.1988.38.74","article-title":"Antigens of Entamoeba histolytica recognized by immune sera from liver abscess patients","volume":"38","author":"Joyce","year":"1988","journal-title":"Am J Trop Med Hyg"},{"key":"2025042706244005000_2014.aug24_1.bcr2014204129.9","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1016\/S0891-5520(20)30538-9","article-title":"Amebiasis and \u201cnonpathogenic\u201d intestinal protozoa","volume":"7","author":"Aucott","year":"1993","journal-title":"Infect Dis Clin North Am"},{"doi-asserted-by":"publisher","key":"2025042706244005000_2014.aug24_1.bcr2014204129.10","DOI":"10.1093\/infdis\/154.1.19"},{"doi-asserted-by":"publisher","key":"2025042706244005000_2014.aug24_1.bcr2014204129.11","DOI":"10.1586\/14787210.5.5.893"},{"unstructured":"Petri WA Singh U . Enteric amebiasis. In: Guerrant R Walker DH Weller PF , eds. Tropical infectious diseases: principles, pathogens, and practice . 2nd edn. Philadelphia: Elsevier, 2006:967.","key":"2025042706244005000_2014.aug24_1.bcr2014204129.12"},{"key":"2025042706244005000_2014.aug24_1.bcr2014204129.13","first-page":"55","article-title":"Detection of Entamoeba histolytica using polymerase chain reaction in pus samples from amebic liver abscess","volume":"25","author":"Khan","year":"2006","journal-title":"Indian J Gastroenterol"},{"doi-asserted-by":"publisher","key":"2025042706244005000_2014.aug24_1.bcr2014204129.14","DOI":"10.1128\/CMR.16.4.713-729.2003"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-204129","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T13:24:52Z","timestamp":1745760292000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-204129"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,8,25]]},"references-count":14,"alternative-id":["10.1136\/bcr-2014-204129"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-204129","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2014,8,25]]}}}