Ünver Korğalı Elif, Kaymak Cihan Meriç, Ceylan Özgür, Kaptanoğlu Melih
Cumhuriyet Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Sivas, Türkiye.
Turkiye Parazitol Derg. 2017 Jun;41(2):126-129. doi: 10.5152/tpd.2017.4811.
Cystic echinococcosis (CE) is a zoonotic disease; in places such as Turkey where livestock is common, it is an endemic health concern. The most commonly involved organ is the lungs in children. Pulmonary cysts can be asymptomatic; in some cases, they may rupture and become symptomatic. Ruptured lung hydatid cysts may often be confused with tuberculosis (Tbc) radiologically and clinically. . In this report, we present an 8-year-old female patient admitted with cough, fever, and sputum persisting since 2 weeks; her chest radiography and computed tomography (CT) findings initially indicated Tbc, but the follow-up surgery led to a diagnosis of ruptured lung CE. We want to emphasize that in children belonging to places where livestock is common, if respiratory symptoms are observed, CE and tuberculosis must be considered in the differential diagnosis, and the final diagnosis should be supported by other microbiological-serological tests.
囊性棘球蚴病（CE）是一种人畜共患病；在土耳其等畜牧业常见的地区，它是一个地方性的健康问题。儿童中最常受累的器官是肺。肺囊肿可能无症状；在某些情况下，它们可能破裂并出现症状。破裂的肺包虫囊肿在影像学和临床上常易与肺结核（Tbc）混淆。在本报告中，我们介绍了一名8岁女性患者，她因咳嗽、发热和咳痰持续2周入院；她的胸部X线和计算机断层扫描（CT）结果最初提示为Tbc，但后续手术诊断为破裂的肺CE。我们想强调的是，在畜牧业常见地区的儿童中，如果观察到呼吸道症状，在鉴别诊断中必须考虑CE和肺结核，最终诊断应得到其他微生物学-血清学检查的支持。
