Clinical case of amoebic liver and pleuropulmonary abscess in a patient with chronic hepatitis B in Cotonou.

Abstract

Amebiasis is the third-largest parasitic cause of death in the world. Endemic in the hot and humid regions of the globe, it remains a cosmopolitan affection. Pleuropulmonary involvement is the second most extraintestinal localization of amoebiasis after hepatic localization. We report a clinical case of amoebiasis with hepatic and pleuropulmonary involvement. The diagnosis was made by amoebic imaging and serology. The patient was found to have HBsAg on this occasion. The clinical course was favorable under treatment with metronidazole and needle puncture-aspiration of pus. The association of extra-intestinal amoebiasis and hepatitis B is not common. It was therefore a question of seeing if there could be a link between these two affections.