English

Abstract

Hydatid disease is a rare zoonotic disease. Rarely the hydatid cyst can become infected with mycotic organisms, such as As- pergillus. We describe a young male who presents with clinical features of suppurative lung abscess whose workup diagnosed hydatid cyst complicated by Aspergillus co-infection. A 32-year-old male farm labourer hospitalized with complaints of fever, chills, and productive cough with chest pain since four months duration Significant findings included leukocytosis with eosinophilia. Chestx-ray showing cystic lesion with air fluid level in Left lung sug- gestive of Hydatid cyst. CECT imaging of thorax and abdomen showed encysted left hydro pneumothoraxwith hypo dense cystic lesion in right lobe of liver,suggesting possibility of hydatid. The patient underwent decortication of the pulmonary cyst. Histopathologicalexamina- tion of surgical specimen revealed cyst of 10 cm in its largest diameter showing cyst wall with thin branching septate hyphae with spores along with pink laminated wall like structure suggestive of hydatid cyst with aspergilloma. Aspergillosis and Hydatid cyst coexistance should be considered in presence of pulmonary cavitary lesion particularly in endemic areas. Detection of such association is important for planning adequate management.