Trichomonas empyema with respiratory failure
Wang, H.-K.; Jerng, J.S.; Su, K.-E.; Chang, S.-C.; Yang, P.-C.
American Journal of Tropical Medicine and Hygiene 75(6): 1234-1236
2006
ISSN/ISBN: 0002-9637 PMID: 17172399 Document Number: 598946
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.