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Case Reports
. 2023 Nov;64(11):1119-1122.
doi: 10.1007/s00108-023-01540-y. Epub 2023 Jun 9.

[Rare cause of necrotizing pneumonia : A case report]

[Article in German]
Malin Gottschling  1 , Christoph Lerzer  2 , Florian Geismann  2 , Daniel Schmalenberger  2 , Stefan Blaas  2 , Meral Simsek  2 , Maximilian Malfertheiner  2 , Bernd Salzberger  3 , Florian Hitzenbichler  3 , Okka W Hamer  4   5 , Kirsten Utpatel  6 , Reiner Neu  7 , Michael Ried  7 , Arno Mohr  2
Affiliations
Case Reports

[Rare cause of necrotizing pneumonia : A case report]

[Article in German]
Malin Gottschling et al. Inn Med (Heidelb). 2023 Nov.

Abstract
in English, German

A 29-year-old Indian patient was admitted to the authors' pulmonary clinic with cough and fever. Community-acquired pneumonia was initially suspected. Various antibiotic therapies were administered, which did not lead to any clinical improvement. Despite detailed diagnostics, no pathogen was found. Computed tomography showed rapidly progressive pneumonia in the left upper lobe. Since the infection could not be managed conservatively, upper lobe resection was performed. Histologically, an amoebic abscess was found to be the cause of the infection. Since cerebral and hepatic abscesses were also found, hematogenous dissemination may be assumed.

Ein 29-jähriger indischer Patient wurde bei Husten und Fieber in unsere Lungenfachklinik aufgenommen. Unter der initialen Verdachtsdiagnose einer ambulant erworbenen Pneumonie erfolgten diverse antibiotische Therapien, welche zu keiner klinischen Besserung führten. Mikrobiologisch gelang trotz ausgiebiger Diagnostik kein Nachweis pathogener Keime. Computertomographisch zeigte sich eine rasch progrediente einschmelzende Pneumonie im linken Oberlappen. Letztlich blieb bei konservativ nicht beherrschbarer Infektion nur die Option einer Oberlappenresektion. Anhand des operativen Resektats konnte schließlich die Diagnose eines Amöbenabszesses gestellt werden. Im Verlauf waren auch ein hepatischer sowie ein zerebraler Abszess nachweisbar.

Keywords: Amebiasis; Liver abscess; Lung abscess; Pneumonia; Protozoa.

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References

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