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Disseminated hydatid cyst of liver and lung
  1. Nousheen Iqbal1,
  2. Muhammad Hussain2,
  3. Romana Idress3,
  4. Muhammad Irfan4
  1. 1Department of Medicine, section of Pulmonology and critical care, Aga Khan Hospital, Karachi, Pakistan
  2. 2Jinnah Sindh Medical University, Karachi, Pakistan
  3. 3Department of Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan
  4. 4Department of Medicine, Section of Pulmonology and Critical care, Aga Khan University and Hospital, Karachi, Pakistan
  1. Correspondence to Dr Nousheen Iqbal, naush_gr8smcian{at}


Hydatid cyst commonly affects liver followed by lung, but rarely affects both organs simultaneously. Here we presented a patient who presented with concurrent involvement of both lungs and liver. Patient presented with dyspnoea and generalised weakness with bilateral rounded opacities throughout the lung field of variable sizes. CT scan chest with contrast showed multiple rounded soft tissue density in both lungs and liver. Patient underwent mini thoracotomy which revealed multiple cystic lesions throughout lung. ELISA for anti-Echinococcus antibodies shows positive titres. Due to extensive involvement, patient was started on medical treatment albendazole. The patient showed significant improvement both clinically and radiographically on treatment. Thus long-term medical treatment helps in such cases where surgery is not possible.

  • infections
  • respiratory system
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  • Contributors NI performed the literature search and helped in writing the manuscript. MH wrote the manuscript. RI reported on the histopathology. MI reviewed the manuscript and the case.

  • Competing interests None declared.

  • Patient consent Obtained.

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

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