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January - March 2017: 
Volume 30, Issue 1

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Pleural effusion due to an amoebic liver abscess
Authors Information

1: Pulmonary Departement Corfu General Hospital, Corfu, Greece
2: Medical Center "Magnetic Tomography of Corfu", Corfu, Greece
3: Radiology Lab Corfu General Hospital, Corfu, Greece

Full text

A 72 years-old man was admitted for fever during the last two days. The patient was febrile with a temperature of 39oC. Chest auscultation revealed end-inspiratory crackles over the right lung base. Laboratory testing was remarkable for mild leukocytosis. A chest radiograph and computerized tomography (Fig. 1) showed small right sided pleural effusion, with no findings for pulmonary embolism. The patient was treated as community acquired pneumonia. In spite of antibiotic therapy the fever remained stable. A suspicion for subdiaphragmatic cause of pleural effusion was raised in differential thought. The patient underwent an abdomen computerized tomography (Fig. 2) which revealed findings compatible to a large liver abscess. The patient was transferred to a tertiary hospital. An amoebic liver abscess was diagnosed treated with anti-amoebic therapy with complete resolution.

FIGURE 1. A chest computerized tomography shows a small right sided pleural effusion.
 

FIGURE 2. An abdominal computerized tomography shows a large, lobulated, hypodense area with a contrast enhanced capsule located in the left lobe of the liver.
 

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