Primary pulmonary cystic Echinococcus in an immunocompetent patient.
| Autor: | Villalobos N; Pulmonary, Critical Care, and Sleep Medicine, University of New Mexico, Albuquerque, New Mexico, USA villalobos.nk@gmail.com., Cabanilla MG; Infectious Diseases, University of New Mexico, Albuquerque, New Mexico, USA., Diehl WP; Pulmonary, Critical Care, and Sleep Medicine, University of New Mexico, Albuquerque, New Mexico, USA. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ case reports [BMJ Case Rep] 2020 Aug 24; Vol. 13 (8). Date of Electronic Publication: 2020 Aug 24. |
| DOI: | 10.1136/bcr-2020-234578 |
| Abstrakt: | A 60-year-old man was referred to the interventional pulmonology clinic with a large right-sided intraparenchymal lung mass and a second, smaller lesion in the left lower lobe, accompanied by intermittent haemoptysis, fever, chills, productive cough of white phlegm as well as dizziness and weakness. He had presented previously and was being evaluated for the possibility of malignancy. Investigations had revealed 'hooklets' (protoscolices) of hydatid cysts, most likely representing the parasite Echinococcus Successful surgical excision of the affected lobe, lung decortication, partial pleurectomy and pneumolysis of the adhesions was performed, along with long-term antiparasitic therapy. The initial differential diagnosis for this patient was challenging and required multimodal investigations. The patient made good recovery and continued to be followed by infectious disease specialists for management of antiparasitic therapy. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Databáze: | MEDLINE |
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