Karimi Maryam, Rostami Ali, Spotin Adel, Rouhani Soheila
Department of Parasitology and Mycology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Cellular and Molecular Research Center, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
J Parasit Dis. 2017 Sep;41(3):899-902. doi: 10.1007/s12639-017-0880-z. Epub 2017 Jan 19.
Ruptured pulmonary hydatid cyst (PHC) is an important clinical problem in endemic areas to echinococcal infection. Herein we present a rare case of ruptured PHC in an adolescent boy that was misdiagnosed as pulmonary tuberculosis in local health center. When sputum specimen was stained by acid-fast staining for detection of hooklets of were observed. A simple chest X-ray showed a multilobulated mass in the lower part of the left lung. Computed tomography scan verified existence of thick walled caviar lesion with irregular air-fluid level. The diagnosis was confirmed at the time of surgery. Misdiagnoses of PHC may even lead to irreparable damages. Therefore, accurate diagnosis is necessary to prevent severe complications.
破裂性肺包虫囊肿(PHC)是棘球蚴感染流行地区的一个重要临床问题。在此,我们报告一例青少年男性罕见的破裂性PHC病例,该病例在当地卫生中心被误诊为肺结核。痰标本经抗酸染色后,未观察到小钩。简单的胸部X线显示左肺下部有一个分叶状肿块。计算机断层扫描证实存在厚壁鱼子样病变,伴有不规则气液平面。手术时确诊。PHC的误诊甚至可能导致无法挽回的损害。因此,准确诊断对于预防严重并发症是必要的。