1921
Volume 75, Issue 6
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Pulmonary trichomoniasis is rare, and few cases of trichomonas empyema have been reported in the literature. We describe a rare case of a non-immunocompromised 55-year-old man with empyema presenting with bilateral pleural effusion leading to respiratory failure. Examination of the pleural effusion showed numerous motile organisms by fresh wet preparation that were identified as species by Liu stain. The patient was successfully treated with metronidazole, ampicillin/clavunalate, fibrinolytic therapy, and thoracotomy decortication.

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2006-12-01
2017-11-21
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References

  1. Lewis KL, Doherty DE, Ribes J, Seabolt JP, Bensadoun ES, 2003. Empyema caused by trichomonas. Chest 123 : 291–292.
  2. Caliendo AM, Jordan JA, Green AM, Ingersoll J, Diclemente RJ, Wingood GM, 2005. Real-time PCR improves detection of Trichomonas vaginalis infection compared with culture using self-collected vaginal swabs. Infect Dis Obstet Gynecol 13 : 145–150.
  3. Edwards L, 2004. The diagnosis and treatment of infectious vaginitis. Dermatol Ther 17 : 102–110.
  4. Liu CH, 1953. A new rapid method of staining thin blood film: first report. J Formos Med Assoc 52 : 348–352.
  5. Hersh SM, 1985. Pulmonary trichomoniasis and Trichomonas tenax. J Med Microbiol 20 : 1–10.
  6. Duboucher C, Noel C, Durand-Joly I, Gerbod D, Delgado-Viscogliosi P, Jouveshomme S, Leclerc C, Cartolano GL, Dei-Cas E, Capron M, Viacoqliosi E, 2003. Pulmonary coinfection by Trichomonas vaginalis and pneumocystis SP. As a novel manifestation of AIDS. Hum Pathol 34 : 508–511.
  7. Mallat H, Podglajen I, Lavarde V, Mainardi JL, Frappier J, Cornet M, 2004. Molecular characterization of Trichomonas tenax causing pulmonary infection. J Clin Microbiol 42 : 3886–3887.
  8. Duboucher C, Farto-Bensasson F, Cheron M, Peltier JY, Beaufils F, Perie G, 2000. Lymph node infection by Trichomonas tenax: Report of a case with co-infection by mycobacterium tuberculosis. Hum Pathol 31 : 1317–1321.
  9. El Kamel A, Rouetbi N, Chakroun M, Battikh M, 1996. Pulmonary eosinophilia due to Trichomonas tenax. Thorax 51 : 554–555.
  10. Jongwutiwes S, Silachamroon U, Putaporntip C, 2000. Pentatri-chomonas hominis in empyema thoracis. Trans R Soc Trop Med Hyg 94 : 185–186.
  11. Miller MJ, Leith DE, Brooks JR, Fencl V, 1982. Trichomonas empyema. Thorax 37 : 384–385.
  12. Shiota T, Arizono N, Morimoto T, Shimatsu A, Nakao K, 1998. Trichomonas tenax empyema in an immunocompromised patient with advanced cancer. Parasite 5 : 375–377.
  13. Radosavljevic-Asic G, Jovanovic D, Radovanovic D, Tucakovic M, 1994. Trichomonas in pleural effusion. Eur Respir J 7 : 1906–1908.
  14. Walzer PD, Rutherford I, East R, 1978. Empyema with Trichomonas species. Am Rev Respir Dis 118 : 415–418.
  15. Ruoff KL, 1991. Nutritionally variant streptococci. Clin Microbiol Rev 4 : 184–190.
  16. Tumka AF, 1956. Trichomonal invasion of the lung. Klin Med (Mosk) 34 : 35–40.
  17. Memik F, 1968. Trichomonads in pleural effusion. JAMA 204 : 1145–1146.
  18. Osborne PT, Giltman LI, Uthman EO, 1984. Trichomonads in the respiratory tract. A case report and literature review. Acta Cytol 28 : 136–138.
  19. Abed L, Delemotte J, Marill R, Ripert C, Tordjman G, 1966. Localisation pleuropulmonaire du Trichomonas. Bull Soc Pathol Exot 59 : 962–964.
  20. Houin R, Deniau M, Romano P, Poirot JL, 1973. Trichomonase pleurale. Bull Soc Pathol Exot 66 : 627–631.
  21. Ohkura T, Suzuki N, Hashiguchi Y, 1985. Occurrence of Trichomonas tenax in pleural effusion: A case report and a brief review of literatures. Jan J Trop Med Hyg 13 : 295–299.
  22. McLaren LC, Davis LE, Healy GR, James G, 1983. Isolation of Trichomonas vaginalis from the respiratory tract of infants with respiratory disease. Pediatrics 71 : 888–890.
  23. Rebhun J, 1964. Pulmonary trichomoniasis associated with a fever of unknown origin. Cal Med 100 : 443–444.
  24. Honigberg BM, 1990. Trichomonads found outside the urogenital tract of humans. Honigberg BM, ed. Trichomonads Parasitic in Humans. New York: Springer-Verlag, 342–366.
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  • Received : 05 Jun 2006
  • Accepted : 24 Aug 2006

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