Abstract
Hydatid disease is caused by genus Echinococcus, it's transmitted to human through sheep and cattle. People who lived in an endemic area should be suspected to have the disease. Pulmonary hydatid disease can be presented by respiratory manifestations as in our case. We report a case of a child, 13 years old, who was presented by shortness of breath and non-productive cough 2 months ago. The patient had an attack of hemoptysis 3 months ago but there is no history of fever, other constitutional symptoms or any medical illness. The patient had a close contact with horse. On examination, the patient was oriented and vitally stable. Both sides of the chest were moving equally with decreased air entry on the left side of the chest. Cervical lymph node enlargement was also detected. The case was provisionally diagnosed as tuberculosis. The x-ray was normal, while CT scan showed two cysts on the left side. The patient was treated surgically with resection of both cysts without lobectomy. Bronchoalveolar lavage was done and together with plural effusion and both cysts were sent for histopathology. The patient received the following medication: Albendazole 200 MG/BID/Orally for 30 days and Cefuroxime 250 MG/Q12H/ Orally for 10 days.
Highlights
Hydatid disease is a parasitic infestation caused by a tapeworm of the genus Echinococcus, which is the larval cystic stage
The patient had an attack of hemoptysis 3 months ago but there is no history of fever, other constitutional symptoms or Figure 1: 1A and 1B Computerized tomography (CT) scan showed: Two large sharply circumscribed fluid filled cysts with thin enhancing walls are seen in left lung measuring about 11 × 8.5 and 10.5 × 8 cm with almost clear surrounding lung parenchyma
Hydatid disease caused by larval stage of Echinococcus granulosus, the definitive host is the dog while the intermediate hosts are cattle and sheep
Summary
Pulmonary hydatid cyst didn't use any antibiotics for his symptoms. Hydatid disease is a parasitic infestation caused by a tapeworm of the genus Echinococcus, which is the larval cystic stage. The patient may be presented by a complication of pulmonary hydatidosis including compression of bronchi or intrabronchial rupture as a result of late diagnosis [3].
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