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Published 7 September 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.04.2009.1738]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Rare disease

Concomitant tuberculosis and hydatid cyst in a solitary pulmonary nodule of left lower lobe

Mossab Y M Saeed1, AlaEldin H Ahmed1,2, Nezar B Elhassan1, Ahmed M Elhassan3

1 Sudan Heart centre, Khartoum, Sudan
2 Department of Medicine, University of Khartoum, Sudan
3 Institute of Endemic Diseases, University of Khartoum, Sudan

Correspondence to:
AlaEldin Hassan Ahmed, drahahmed{at}hotmail.com

SUMMARY

We report a case of a 25-year-old woman who presented with recurrent attacks of haemoptysis over a 12 month period. Physical examination was normal. Chest x ray and computed tomography scan showed a 2.6x1.9 cm pulmonary nodule. Full blood count and biochemical profile were normal. Fibreoptic bronchoscopy was normal and bronchial aspirate was negative for Ziehl-Neelsen staining and malignant cells. The nodule was removed surgically because it was feared that it could be malignant. Histology showed concomitant hydatid disease and tuberculosis. This is a rare occurrence with only one similar case reported in the literature.


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