Empyema caused by intrathoracic infection of pulmonary multilocular echinococcus: a case report and a review of literature / 中国综合临床

ABSTRACT

Objective:To investigate the diagnosis and treatment of empyema caused by intrathoracic infection of pulmonary multilocular Echinococcus.Methods:From August 2016 to September 2016, a case of empyema caused by pulmonary multilocular Echinococcus infection was analyzed retrospectively in the second Department of cardiothoracic surgery, the First Affiliated Hospital, School of Medicine, Shihezi University, and the relevant literature was consulted to analyze its clinical diagnosis and treatment characteristics (including epidemiological characteristics, clinical manifestations, imaging manifestations), and to explore the specific operation mode and prognosis of surgical treatment The diagnosis and treatment of empyema caused by pulmonary multilocular Echinococcus infection were discussed..Results:Due to the lack of characteristic clinical manifestations and imaging examination results, the case was not clearly diagnosed at the early stage of treatment (only initially diagnosed as empyema). After multiple consultations, it was finally decided to perform thoracoscopic empyema removal.At last, it was confirmed that the infection of pulmonary multilocular hydatid caused empyema during the operation.After the diagnosis, it was treated by thoracoscopic intrathecal resection of pulmonary hydatid + empyema clearance.After the operation, it was treated with paixilin tazobactam.Finally, the patient was discharged smoothly.Conclusion:Empyema caused by pulmonary multilocular echinococcosis is very rare.Medical workers, especially those in non echinococcosis endemic areas, should pay more attention to it.Only by improving the awareness of such rare cases can we make a clear diagnosis in the early stage and then take effective treatment.The combination of surgical operation treatment and anti infective drugs treatment can effectively cure empyema caused by pulmonary multilocular Echinococcus infection.