Lung abscess due to amoebiasis is because of
|A||Direct extension from liver|
|D||All of the above|
a. Pleuropulmonary involvement, which is reported in 20–30% of patients, is the most frequent complication of amebic liver abscess.
b. Manifestations include sterile effusions, contiguous spread from the liver, and rupture into the pleural space. Sterile effusions and contiguous spread usually resolve with medical therapy, but frank rupture into the pleural space requires drainage.
c. A hepatobronchial fistula may cause cough productive of large amounts of necrotic material that may contain amebas.
d. Abscesses that rupture into the peritoneum may present as an indolent leak or an acute abdomen and require both percutaneous catheter drainage and medical therapy.
e. Rupture into the pericardium, usually from abscesses of the left lobe of the liver, carries the gravest prognosis; it can occur during medical therapy and requires surgical drainage