Paediatrics, All India Institute of Medical Sciences, Rishikesh, India
Microbiology, All India Institute of Medical Sciences, Rishikesh, India.
BMJ Case Rep. 2020 Sep 7;13(9):e235301. doi: 10.1136/bcr-2020-235301.
Coexisting tuberculosis (TB) and hydatid disease in an immunocompetent individual is an extremely rare occurrence. Given the similarities in the clinical manifestations and morbidities of both, specific diagnosis in individuals coinfected with these is difficult. We, hereby present a case of a 17-year-old adolescent man diagnosed to be a coinfection of pulmonary TB with pulmonary and cardiac hydatid disease, with the review of cases having a similar presentation. The coexistence of these infections should be considered in endemic areas. Management can only be done by a multidisciplinary approach including surgical, microbiological, histopathological and radiological facilities. Complete surgical excision of the cyst is the treatment of choice and medical therapy for both aetiologies should be appropriate to achieve cure.
在免疫功能正常的个体中同时存在结核(TB)和包虫病极为罕见。鉴于两者在临床表现和并发症方面具有相似性,因此在个体中对这些疾病进行明确诊断具有一定难度。我们在此报告了一例 17 岁青少年男性患有肺结核合并肺和心脏包虫病的病例,并回顾了具有类似表现的病例。在流行地区应考虑这些感染的合并存在。管理只能通过多学科方法来进行,包括外科、微生物学、组织病理学和放射学设施。完全切除囊肿是治疗的首选,两种病因的药物治疗都应适当,以达到治愈。