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April 1963

Left Pulmonary Amebic AbscessReport of Two Cases

Author Affiliations

Chief, Department of Surgery, West Tennessee Tuberculosis Hospital; Assistant Professor, Department of Surgery, University of Tennessee College of Medicine (Dr. Cole). Present address: 1021 E. Robinson Ave., Orlando, Fla. (Dr. Nunnally).; From Department of Surgery, West Tennessee Tuberculosis Hospital, and Department of Surgery, University of Tennessee College of Medicine.

Arch Surg. 1963;86(4):621-626. doi:10.1001/archsurg.1963.01310100105016

Pleuropulmonary complications of amebiasis have been dealt with extensively in the literature, but lesions in the left lung are uncommon in most series3,13,16 and not mentioned in others.7-9,11,12,18 Most reported series8,9,12-15,18 demonstrate right-sided involvement, so that our thinking on the subject is, for the most part, concentrated in this direction. These two cases are presented to alert us to the fact that left-sided lesions can and do occur. The diagnosis is made only if the entity is thought of and, very often, only after a therapeutic trial of antiamebic drugs. It is not the scope of this paper to review diagnosis and treatment, which has been done so adequately in the past.

Ochsner and DeBakey have written repeatedly on the subject,2,8,9 and their classification of this complication has been generally accepted. In a report8 of 153 cases collected, with 15 of their own, they classified

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