Saeed Mossab Y M, Ahmed AlaEldin H, Elhassan Nezar B, Elhassan Ahmed M
Sudan Heart centre, Khartoum, Sudan.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.04.2009.1738. Epub 2009 Sep 7.
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 2.6×1.9 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.
我们报告一例25岁女性患者,在12个月期间反复出现咯血症状。体格检查正常。胸部X线和计算机断层扫描显示一个2.6×1.9厘米的肺结节。全血细胞计数和生化指标正常。纤维支气管镜检查正常,支气管吸出物经萋-尼染色未发现结核菌及恶性细胞。由于担心该结节可能为恶性,遂进行了手术切除。组织学检查显示同时存在包虫病和结核病。这种情况很罕见,文献中仅报道过一例类似病例。