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一名来自巴基斯坦的15岁男孩的血清学阴性双侧肺包虫囊肿:罕见病例报告

Seronegative Bilateral Pulmonary Hydatid Cysts in a 15-Year-Old Boy From Pakistan: Report of a Rare Case.

作者信息

Salcedo Yoalkris E, Reddy Kayeetha Vinoothna, Shah Mudassir, Owais Haseeb Syed

机构信息

Internal Medicine, Hayatabad Medical Complex Peshawar, Peshawar, PAK.

Surgery, Universidad Iberoamericana, Dominican Republic, DOM.

出版信息

Cureus. 2024 Apr 10;16(4):e57958. doi: 10.7759/cureus.57958. eCollection 2024 Apr.

Abstract

Hydatid disease, attributed to the tapeworm , poses a significant health threat in regions where it is endemic. Here, we present a case involving a 15-year-old boy from rural Pakistan who initially sought medical attention due to a persistent cough and hemoptysis. Despite initially testing negative for serological markers, imaging studies revealed well-defined cysts in both lungs. Confirmation of the diagnosis was achieved through histopathological examination. Management includes albendazole therapy and surgical excision of the cyst. Our case underscores the diagnostic challenges associated with seronegative cases and underscores the importance of considering hydatid disease in endemic regions, irrespective of typical serological markers. This report enhances understanding regarding the clinical presentation, diagnostic approach, and management strategies for pulmonary hydatid cysts.

摘要

由绦虫引起的包虫病在其流行地区对健康构成重大威胁。在此,我们报告一例病例,患者为一名来自巴基斯坦农村的15岁男孩,最初因持续咳嗽和咯血就医。尽管血清学标志物初检呈阴性,但影像学检查显示双肺有边界清晰的囊肿。通过组织病理学检查确诊。治疗包括阿苯达唑治疗和囊肿手术切除。我们的病例强调了血清学阴性病例的诊断挑战,并强调了在流行地区考虑包虫病的重要性,无论典型血清学标志物如何。本报告增进了对肺包虫囊肿临床表现、诊断方法和治疗策略的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/236f/11090377/f95862e5fe0a/cureus-0016-00000057958-i01.jpg

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