Garcia L S, Shimizu R Y, Bruckner D A
Am J Clin Pathol. 1986 Apr;85(4):519-21. doi: 10.1093/ajcp/85.4.519.
A 67-year-old man, born in Turkey but living within the United States since 1975, presented with a four-month history of right lower chest pain. Chest x-ray revealed a right lower lobe infiltrate. Liver scan revealed multiple calcified cysts consistent with unilocular hydatid disease. The patient was taken to surgery for liver cysts removal. Although there was no specific evidence of lung cysts, it was recommended that sputum specimens be submitted for evidence of hydatid sand, i.e., hooklets and scolices. Hooklets were found, thus confirming the sinus tract connection between lung and liver. This case emphasizes the point that hooklets can be recovered in sputum and identified, even when there are few present. This approach also represents a noninvasive procedure that, along with serology, could be used as an alternative to biopsy technics under certain conditions.
一名67岁男性，出生于土耳其，自1975年起居住在美国，因右下胸痛4个月前来就诊。胸部X光显示右下叶浸润。肝脏扫描显示多个钙化囊肿，符合单房性包虫病。患者接受了肝囊肿切除术。尽管没有肺囊肿的具体证据，但建议提交痰标本以寻找包虫砂的证据，即小钩和头节。发现了小钩，从而证实了肺和肝之间的窦道连接。该病例强调了即使小钩数量很少，也可在痰中找到并识别这一点。这种方法也是一种非侵入性程序，在某些情况下，与血清学一起可作为活检技术的替代方法。
