Sorbonne Université, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital Trousseau, Service de Pneumologie Pédiatrique, Paris, France.
Sorbonne Université, AP-HP, Hôpital Trousseau, Service de Chirurgie Viscérale Pédiatriqueet Néonatale, Paris, France.
Pediatr Pulmonol. 2023 Oct;58(10):2960-2963. doi: 10.1002/ppul.26579. Epub 2023 Jul 4.
This case report describes the presentation, diagnosis, and treatment of a 13-year-old boy with pulmonary cystic echinococcosis. The patient presented with low-volume hemoptysis, and lung imaging revealed a large cystic mass, as well as smaller pseudo-nodular lesions, suggesting a large intrathoracic hydatid cyst and ruptured cysts. The diagnosis was confirmed by a positive echinococcosis Western Blot assay, despite equivocal serology. The treatment consisted of surgical removal of the large cyst using thoracoscopy, along with a two-week course of albendazole and praziquantel, followed by albendazole alone for two years. Analysis of the cyst membrane revealed an Echinococcus granulosus protoscolex. The patient had a successful recovery.
本病例报告描述了一名 13 岁男孩患肺包虫囊肿病的表现、诊断和治疗经过。该患者表现为低量咯血，肺部影像学显示一个大的囊状肿块，以及较小的假结节状病变，提示存在较大的胸内包虫囊肿和破裂的囊肿。尽管血清学检查结果不确定，但包虫病 Western Blot 检测呈阳性，从而确诊。治疗包括使用胸腔镜切除大囊肿，以及两周的阿苯达唑和吡喹酮治疗，随后单独使用阿苯达唑两年。对囊膜进行分析显示为细粒棘球蚴原头节。患者恢复良好。
