Journal List > Infect Chemother > v.42(5) > 1035030

TOOLS
Kim, Na, Lee, Seock, Jo, Choi, and Kim: A Case of Amebic Liver Abscess with Pleural Effusion in an AIDS Patient
Case Report
Infection & Chemotherapy

Infection & Chemotherapy 2010; 42(5): 299-302.

Published online: 31 October 2010

DOI: https://doi.org/10.3947/ic.2010.42.5.299

A Case of Amebic Liver Abscess with Pleural Effusion in an AIDS Patient

Kee Bum Kim1, Byung Soo Na1, Seung Hoon Lee1, Chang Hyeon Seock2, Hyeon U Jo2, Won Seok Choi2, Myung Soo Kim2

1Department of Internal Medicine, Sung Ae Hospital, Seoul, Korea.

2Department of Internal Medicine, Kwangmyung Sung Ae Hospital, Gwangmyeong, Korea.

Correspondence to Myung Soo Kim, M.D. Department of Internal Medicine, Kwang Myung Sung Ae Hospital, 389 Cheolsan-dong, Gwangmyeong 423-711, Korea. Tel: +82-2-2680-7757, Fax: +82-2-2680-7755, kms0119@lycos.co.kr

Received 9 April 2010       Revised 8 July 2010       Accepted 12 July 2010

Copyright © 2010 by The Korean Society of Infectious Diseases and Korean Society for Chemotherapy

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Recent studies indicate that there is an increased risk of amebic liver abscess among those infected with HIV, which is associated with cell-mediated immunosuppression. Although Entamoeba histolytica infection is common among HIV infected patients, only a few cases of amebic liver abscess with bilateral pleural effusion have been reported. We present a case of a 44-year-old man who presented with fever and right lower quadrant abdominal pain. Amebic liver abscess with bilateral pleural effusion was confirmed by serologic test, clinical symptoms, and radiological findings. HIV infection was incidentally diagnosed during treatment. The possibility of the presence of amebic liver abscess should be considered in HIV infected patients with space-occupying lesions in the liver, and HIV screening should strongly be recommended in patients with amebic liver abscess.

Keywords: Amebic liver abscess, Pleural effusion, HIV infection

Figures and Tables

Figure 1
Colonoscopic examination on the 14th hospital day shows an ulcer with erythema and edema on the cecum.
ic-42-299-g001
Figure 2
Wall thickening of the ascending colon and round, 58 mm sized liver abscess are visualized by CT scan of the abdomen on hospital day 2.
ic-42-299-g002
Figure 3
Bilateral pleural effusion is observed on hospital day 5.
ic-42-299-g003

References

1. Kim JM, Cho GJ, Hong SK, Chang KH, Chung JS, Choi YH, Song YG, Huh A, Yeom JS, Lee KS, Choi JY. Epidemiology and clinical features of HIV infection/AIDS in Korea. Yonsei Med J. 2003. 44:363–370.
crossref
2. Rho BS, Ahn CH, Kim HS, Cho KK, Lee MH, Oh HK. A clinical observation on amebic liver abscess. Korean J Gastroenterol. 1981. 13:89–95.
3. Park WB, Choe PG, Jo JH, Kim SH, Bang JH, Kim HB, Kim NJ, Oh MD, Choe KW. Amebic liver abscess in HIV-infected patients, Republic of Korea. Emerg Infect Dis. 2007. 13:516–517.
crossref
4. Oh MD, Lee K, Kim E, Lee S, Kim N, Choi H, Choi MH, Chai JY, Choe K. Amoebic liver abscess in HIV-infected patients. AIDS. 2000. 14:1872–1873.
crossref
5. Park IS, Chung SY, Kim JS, Choi HJ, Han SH, Chung SJ. Clinical studies on liver abscess. Korean J Intern Med. 1967. 10:287–299.
6. Kim YH, Park KS. A clinical study of liver abscess. J Korean Surg Soc. 1980. 22:157–167.
7. Seo TJ, Park CH, Lee SH, Lee SJ, Park JH, Park JH, Lee WS, Joo YE, Kim HS, Choi SK, Rew JS, Kim SJ. A clinical study on liver abscess for recent 15 years in Gwangju-Chonnam province. Korean J Med. 2005. 68:26–39.
8. Hong ST. [Gungnae gisaengchung gamnyeomjeungui hyeonhwang]. J Korean Med Assoc. 1998. 41:737–745.
9. Ahn JH, Kim TH, Choo EJ, Jeon SH, Park JH, Lee MW, Park SU. A case of amebic colitis and amebic liver abscess in HIV-infected patient. Korean J Med. 2006. 71:Suppl 3. 1170–1174.
10. Stark D, van Hal SJ, Matthews G, Harkness J, Marriott D. Invasive amebiasis in men who have sex with men, Australia. Emerg Infect Dis. 2008. 14:1141–1143.
crossref
11. Hoeprich PD, Jordan MC. Infectious diseases. 1989. 4th ed. Philadelphia: Lippincott;729–735.
12. Han BH, Lee HY, Lee HS, Byun KS, Chun EC. A case of amebic abscesses in the left hepatic lobe with involvement of the left subphrenic and pleural space. Korean J Intern Med. 1979. 22:1045–1051.
13. Lee JH, Lee YM, Lee CH, Choi CS. The patient with amebic liver abscess should be suspect to be infected with HIV. Korean J Med. 2009. 77:55–56.
TOOLS
Similar articles