Babiker Ahmed, Gaifer Zied
Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, US.
Department of Medicine, Division of Infectious Diseases, The National Guard hospital, Madinah, Saudi Arabia.
Oman Med J. 2020 Feb 19;35(1):e95. doi: 10.5001/omj.2020.13. eCollection 2020 Jan.
Cystic echinococcosis (CE) is a zoonotic infection caused by the tapeworm of the genus , a cestode endemic in many parts of the world. CE can affect any organ, with the lung being the second most commonly affected organ after the liver. For the management of pulmonary CE, guidelines recommend surgical resection of cysts with adjuvant anti-helminthic therapy. In cases where surgery is not possible, medical therapy alone can be used. However, to date, there is a paucity of data to advocate for one modality over the other. Here, we report two cases of pulmonary CE caused by , one was managed with surgery and adjuvant anti-helminthic therapy while the other was managed with medical therapy alone. Both patients had clinical and radiological resolution outlining the role and efficacy of both modalities of therapy.
囊性棘球蚴病（CE）是一种由棘球绦虫属的绦虫引起的人畜共患感染，这种绦虫在世界许多地区流行。CE可累及任何器官，肺是仅次于肝脏的第二常见受累器官。对于肺CE的治疗，指南推荐手术切除囊肿并辅以抗蠕虫治疗。在无法进行手术的情况下，可单独使用药物治疗。然而，迄今为止，缺乏数据支持一种治疗方式优于另一种。在此，我们报告两例由[具体虫种]引起的肺CE病例，一例采用手术及辅助抗蠕虫治疗，另一例仅采用药物治疗。两名患者均实现了临床和影像学缓解，凸显了两种治疗方式的作用和疗效。
