TRICHOMONAS EMPYEMA WITH RESPIRATORY FAILURE

HUA-KUNG WANG Department of Internal Medicine, En-Chu-Kong Hospital, Taipei County, Taiwan; Department of Parasitology, National Taiwan University Hospital, Taipei County, Taiwan

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JIH SHUIN JERNG Department of Internal Medicine, En-Chu-Kong Hospital, Taipei County, Taiwan; Department of Parasitology, National Taiwan University Hospital, Taipei County, Taiwan

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KUA-EYRE SU Department of Internal Medicine, En-Chu-Kong Hospital, Taipei County, Taiwan; Department of Parasitology, National Taiwan University Hospital, Taipei County, Taiwan

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SHAN-CHWEN CHANG Department of Internal Medicine, En-Chu-Kong Hospital, Taipei County, Taiwan; Department of Parasitology, National Taiwan University Hospital, Taipei County, Taiwan

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PAN-CHYR YANG Department of Internal Medicine, En-Chu-Kong Hospital, Taipei County, Taiwan; Department of Parasitology, National Taiwan University Hospital, Taipei County, Taiwan

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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 Trichomonas 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 Trichomonas species by Liu stain. The patient was successfully treated with metronidazole, ampicillin/clavunalate, fibrinolytic therapy, and thoracotomy decortication.

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