ABSTRACT
Existen numerosas entidades en la población pediátrica que pueden presentarse en forma de quistes o como lesiones de similares características. De estas patologías, las infecciosas son las más frecuentes. Se presenta el caso de una paciente oriunda de Bolivia con migración reciente a la Argentina que presentó una coinfección con tuberculosis e hidatidosis pulmonar. Ambas infecciones se pueden presentar con signos y síntomas similares y, aunque la asociación citada es poco frecuente en la bibliografía, ciertos mecanismos inmunitarios podrían intervenir en la coinfección de parásitos helmintos y micobacterias. Ambas patologías son infecciones prevalentes en nuestra región y deben ser tenidas en cuenta entre los diagnósticos diferenciales ante pacientes con imágenes quísticas o cavitarias pulmonares.
Numerous entities in the pediatric population can present in the form of cysts or as lesions with similar characteristics. Of the pathologies that can cause these images in children, infectious diseases are the most frequent. We present the case of a native of Bolivia with recent immigration to Argentina who presented a pulmonary co-infection with tuberculosis and hydatidosis. Both infections can present with similar signs and symptoms and although this association is rarely reported in the literature, certain immunological mechanisms could intervene in the causal association of co-infection between helminth parasites and mycobacteria. Both pathologies are very prevalent infections in our region and should be taken into account among the differential diagnoses in patients with cystic or cavitary pulmonary diseases.
Subject(s)
Humans , Female , Adolescent , Tuberculosis/complications , Tuberculosis/diagnosis , Cysts , Echinococcosis/diagnosis , Coinfection/diagnosis , Lung DiseasesABSTRACT
Objective:To evaluate the efficacy and safety of video-assisted thoracoscopic surgery (VATS) and thoracotomy in the treatment of pulmonary echinococcosis.Methods:Pubmed, ScienceDirect, Medline, Wanfang Data Knowledge Service Platform, China National Knowledge Infrastructure (CNKI) and VIP Chinese Journal Service Platform were searched by computer from the earliest publication time of the documents included in the database to August 2020. Comparative studies on VATS and thoracotomy in the treatment of pulmonary echinococcosis were included and the quality was evaluated. The data were combined and analyzed by RevMan 5.3 software.Results:Eleven articles were finally included, including two randomized controlled trials (RCT) articles, and the rest were case-control studies. A total of 878 patients were included, including 447 in VATS group and 431 in thoracotomy group. The results of meta analysis showed that compared with thoracotomy group, VATS operation time [ MD (95% CI): - 28.59 (- 41.79, - 15.39)], intraoperative blood loss [ MD (95% CI): - 35.83 (- 49.65, - 22.01)], postoperative drainage volume [ MD (95% CI): - 94.83 (- 150.55, - 39.01)], postoperative catheterization time [ MD (95% CI): - 2.26 ( - 2.94, - 1.59)], hospital stay [ MD (95% CI): - 4.59 (- 6.51, - 2.67)], and postoperative complications [ MD (95% CI): 0.48 (0.32, 0.73)] in VATS group were significantly lower ( P < 0.05). There was no significant difference in postoperative recurrence between VATS group and thoracotomy group [ MD (95% CI): 0.75 (0.26, 2.16), P > 0.05]. Conclusions:Compared with thoracotomy, VATS in the treatment of pulmonary echinococcosis has the advantages of shorter operation time, less intraoperative blood loss, less postoperative drainage volume, shorter postoperative catheterization time and fewer postoperative complications. VATS is a safe and effective surgical method for the treatment of pulmonary echinococcosis.
ABSTRACT
Echinococcosis is a zoonotic epidemic parasitic disease, which is caused by the infection with larvae of Echinococcus in humans, and the disease is also known as hydatid disease. The liver and lung are the most vulnerable organs. Aspergillus is a saprophytic fungus. Aspergillus infection is common in patients with immune deficiency. Pulmonary echinococcosis complicated with Aspergillus infection is very rare in patients with normal immune function. It is a case report in the literature at home and abroad. A case of bilateral isolated pulmonary echinococcosis complicated with Aspergillus infection with normal immune function and no other accompanying diseases admitted to Lanzhou University Second Hospital is reported as follows, and literature review is conducted in combination with Chinese and foreign literatures, so as to provide some reference value for diagnosis and treatment of this kind of disease.
ABSTRACT
Introduction: Cystic echinococcosis better known as “hydatidcyst disease”, is caused by the helminth Echinococcusgranulosus. It has a worldwide distribution and is extremelycommon in the Indian Subcontinent. Lung is the second mostcommon organ of involvement after liver. In the present studywe aimed to clinically evaluate this disease and understand thevarious treatment modalities available for it.Material and methods: It was a prospective observationalstudy and statistical analysis was done wherever applicable.Present study comprised of 25 patients who attended withpulmonary hydatidosis at our hospital during a span of 18months.Results: The most common symptoms were cough and chestpain. The mean duration of illness (in years) was 2.4 ± 0.91(Mean ± SD). Computed tomography (CT) scan was done inall patients for confirming the diagnosis. Sixty percent hadhydatid cysts located in their right lung and had involvement ofthe lower lobe. Excision of cyst was done in 20 patients. Lungresection either in the form of segmentectomy or lobectomywas required in 32%. Intercostal chest drains were placed inall the patients during operation. In 10 patients the cumulativedaily drainage amount ranged between >75-100 ml. Thedifference in proportion of patients having <75% collectionin drain was not statistically significant. The intercostal chestdrains were removed between the 5th -10th postoperativedays in 15 patients. As sample size in each individual groupwas less than 5, Shapiro-Wilk test was applied to assess thedistribution pattern of the observation. The P value <0.05observed in patients without lung resection was statisticallysignificant. The difference in mean time of removal ofdrain following the different surgical interventions was notstatistically significant between the patients who requiredlung resection and those who did not. The distribution patternof the observation on duration of hospitalization amongstthe patients undergoing different surgical procedures (i.e.,those requiring resection of lung & those without any lungresection) were compared. The P value 0.004 observed inpatients without lung resection was statistically significant.Patient morbidity and mortality: 16 patients had air leakin their immediate postoperative period, which was thecommonest complication. There was no mortality in ourstudy.Conclusion: CT Scan is inevitable for confirmation ofdiagnosis. Surgery is the treatment modality of choice withpre- and postoperative albendazole therapy. Lung resectionmay be needed for selected patients and the most commoncomplication following surgery is air leak which can bemanaged conservatively.
ABSTRACT
Abstract Hydatid cystic disease is a significant clinical problem in endemic countries. Hydatid cysts are most commonly located in the liver and lungs. Primary mediastinal hydatid cyst is a rare clinical entity. The diagnosis must be considered in a patient with a mediastinal mass, particularly in endemic regions. Mediastinal hydatid cysts causing paralysis of phrenic and recurrent laryngeal nerves have been rarely reported. We describe a rare case of primary mediastinal hydatid cyst associated with diaphragmatic palsy caused by compression of the left phrenic nerve, which was successfully treated with partial cystectomy and capitonnage with hemidiaphragmatic plication.
Subject(s)
Humans , Echinococcosis , Mediastinal Cyst , MediastinumABSTRACT
Invasion of the human lungs by the larvae of the dog tapeworm Echinococcus granulosus (pulmonary cystic echinococcosis, PCE) is an incapacitating disease, frequently found across a wide geographic area, CE is endemic in many parts of the world, particularly the Mediterranean countries, Central Asia including the Tibetan Plateau, Northern and Eastern Africa, Australia, and South America. [1] Global burden of the human AE is approximately 18,235 new cases per annum with the majority (91%) occurring in China. [2] We report a case of 17–year–old girl student who presented with complaints of left sided pleuritic chest pain, fever and dyspnoea. X–ray chest PA view revealed gross pleural effusion on left side that was exudative in nature and did not respond to antibiotics and anti–tuberculous therapy. HRCT chest revealed large loculated cystic lesion showing calcification in left upper lobe parenchymal region suggestive of ruptured hydatid cyst. IgG antibody for E granulosus was positive. Ultrasound scan of abdomen and pelvis were within normal limits. A diagnosis of Primary pulmonary echinococcosis was made. She was treated successfully with Albendazole 400 mg bid for 21 days; six such cycles 14 days apart
ABSTRACT
La hidatidosis humana es una zoonosis parasitaria de importancia en salud pública y de gran impacto económico, tiene una incidencia anual entre 1,1-15/100 000 habitantes y en la gestación se calcula una incidencia de 1 en 20 000 a 30 000. Se presenta el caso de una gestante de 30 semanas con hidatidosis pulmonar múltiple complicada que trasásu estabilización clínica, se decidió tener una actitud expectante y terminar la gestación por cesárea a las 34 semanas. La quistectom¡a se realizó dos meses después; ambos procedimientos cursaron sin complicaciones de importancia y la evolución clínica fue favorable. La coexistencia de hidatidosis pulmonar y gestación es una condición poco documentada pese a la abundante información sobre la enfermedad y su gran prevalencia. El tratamiento definitivo durante el embarazo es un reto, y los pocos reportes resaltan la falta de consenso en su manejo y tratamiento.
Human hydatid disease is a parasitic zoonosis of public health importance that has a great economic impact. The annual incidence ranges from 1,1-15/100 000 habitants, respective values for pregnants are from 1 in 20 000 to 1 in 30 000. We present the case of a 30-week gestational age pregnant woman with multiple complicated pulmonary hydatid disease who delivered by cesarean section. Removal of hydatid cysts was performed two months later uneventfully. Presentation of hydatid disease during pregnancy is a rare event despite of its high prevalence. Definitive treatment during pregnancy is a challenge; the few published reports emphasize the lack of consensus.