Wang H.-K.Jih S.J.Su K.-E.SHAN-CHWEN CHANGPAN-CHYR YANG2020-12-022020-12-0220060002-9637https://www.scopus.com/inward/record.uri?eid=2-s2.0-34548573899&doi=10.4269%2fajtmh.2006.75.1234&partnerID=40&md5=8a8ac37431c6ff07665db6cdd3668cd3https://scholars.lib.ntu.edu.tw/handle/123456789/523823Pulmonary 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. Copyright ? 2006 by The American Society of Tropical Medicine and Hygiene.[SDGs]SDG3ampicillin; ampicillin plus clavulanate; antibiotic agent; cefazolin; ceftriaxone; clindamycin; erythromycin; gentamicin; metronidazole; minocycline; penicillin G; urokinase; vancomycin; adult; antibiotic sensitivity; article; artificial ventilation; breathing; case report; clinical examination; coughing; decortication; drain; endoscopic surgery; erythrocyte count; fever; fibrinolysis; follow up; human; immunocompromised patient; leukocyte count; male; mixed infection; motor development; percussion; pleura effusion; pleura empyema; pus; respiratory failure; Streptococcus infection; thoracocentesis; thoracotomy; thorax radiography; treatment duration; treatment response; Trichomonas; tube; animal; computer assisted tomography; isolation and purification; middle aged; parasitology; radiography; respiratory failure; Trichomonas; trichomoniasis; Trichomonas; Animals; Humans; Male; Middle Aged; Pleural Effusion; Respiratory Insufficiency; Tomography, X-Ray Computed; Trichomonas; Trichomonas Infectionsjournal article10.4269/ajtmh.2006.75.1234171723992-s2.0-34548573899