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Hydatid cyst in heart and lung: a rare case with a 5-year follow-up
  1. Sarah Ann Koshy1,
  2. Avinash Anil Nair1,
  3. Prince James1 and
  4. Aparna Irodi2
  1. 1 Department of Respiratory Medicine, Christian Medical College and Hospital Vellore, Vellore, Tamil Nadu, India
  2. 2 Department of Radiology, Christian Medical College and Hospital Vellore, Vellore, Tamil Nadu, India
  1. Correspondence to Dr Sarah Ann Koshy; koshysarah{at}yahoo.com

Abstract

This report describes a male in his late 20s who presented with a 2-month history of recurrent haemoptysis and chest pain. A chronic infection, such as tuberculosis, was suspected. He had undergone surgical resection of an intrapericardial hydatid cyst in the past. His blood investigations showed peripheral eosinophilia, and his chest X-ray showed a cystic oval lesion in the left upper zone. A CT pulmonary angiogram revealed filling defects in the bilateral segmental and subsegmental arteries with a cystic lesion in the left upper lobe. Further workup, including bronchoalveolar lavage culture and MRI of the thorax, confirmed the diagnosis of a hydatid cyst of pulmonary echinococcosis. This case illustrates the presentation of multisystemic echinococcosis in a young male with no other risk factors, initially treated with surgical resection and antihelminthic therapy. The disease later recurred, which required prolonged medications, which brought the patient into remission.

  • Tropical medicine (infectious disease)
  • Pneumonia (infectious disease)
  • Pulmonary embolism

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Footnotes

  • X @koshysarah

  • Contributors The following authors were responsible for drafting of the text, sourcing, and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content. SAK: drafting the text, conceptualisation and editing of clinical images, investigation results and drawing original tables. AAN: critical revision for important intellectual content. PJ: critical revision for important intellectual content. AI: expert opinion on radiological descriptions. The following authors gave final approval of the manuscript: AAN, PJ and AI.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.