Saudi Journal of Gastroenterology
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Year : 2013  |  Volume : 19  |  Issue : 2  |  Page : 96-97
Young male presenting with features of pneumonitis


Department of Surgery, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India

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Date of Web Publication12-Mar-2013
 

How to cite this article:
Marwah S, Gurawalia J. Young male presenting with features of pneumonitis. Saudi J Gastroenterol 2013;19:96-7

How to cite this URL:
Marwah S, Gurawalia J. Young male presenting with features of pneumonitis. Saudi J Gastroenterol [serial online] 2013 [cited 2019 Jul 22];19:96-7. Available from: http://www.saudijgastro.com/text.asp?2013/19/2/96/108486


A 23-year-old male was admitted in emergency with high-grade fever and pain in the right lower chest for the last 1 week. He developed productive cough with copious amount of reddish brown sputum, for the last 2 days. On examination, he was found to be febrile with a temperature of 101°F, a pulse rate of 110/min, respiratory rate of 30/min, and blood pressure (BP) within normal range. His blood investigations were within normal limits. On examination, there was intercostal tenderness in the right lower chest and abdominal examination was normal. Chest auscultation revealed decreased breath sounds in the right base with bronchial breathing and coarse crepts. Chest X-ray revealed non-homogeneous opacity in the right lower zone with obliteration of the costophrenic angle [Figure 1]. The patient was previously being treated on lines of pneumonitis with broad-spectrum antibiotics and expectorants but there was no response. On admission, ultrasound of the abdomen revealed a 5.7 × 6.0 cm hypo-echoic lesion in segment VII of the liver. Thereafter, contrast-enhanced computerized tomographic (CT) scan of the abdomen and chest was performed [Figure 2] and a definitive diagnosis was made. The patient was given specific treatment and he improved dramatically.
Figure 1: Chest X-ray showing non-homogeneous opacity in the right lower zone, with obliteration of the right costophrenic angle

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Figure 2: Contrast-enhanced CT scan of the abdomen showing a 5.0 × 6.0 cm liver abscess with air in it seen in segment VII of the liver, reaching the sub-diphragmatic space and communicating with the right pleural cavity. There is collapse and consolidation of the adjoining lung

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   Questions Top


Q1. What is the final diagnosis?

Q2. What is the specific treatment for the disease?



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   References Top

1.Adeyemo AO, Aderounmu A. Intrathoracic complications of amoebic liver abscess. J R Soc Med 1984;77:17-21.  Back to cited text no. 1
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2.Chang H, Lee J, Lin C. Pleural empyema secondary to rupture of amoebic liver abscess. Intern Med 2012;51:471-4.  Back to cited text no. 2
    
3.Lyche KD, Jensen WA, Kirsch CM, Yenokida GG, Maltz GS, Knauer CM. Pleuropulmonary manifestations of hepatic amebiasis. West J Med 1990;153:275-8.  Back to cited text no. 3
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4.Kubitschek KR, Peters J, Nickeson D, Musher DM. Amebiasis presenting as pleuropulmonary disease. West J Med 1985;142:203-7.  Back to cited text no. 4
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Correspondence Address:
Sanjay Marwah
2452, Sector I, HUDA, Rohtak, Haryana- 124 001
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-3767.108486

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