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病例报告:肺包虫病误诊为支气管源性肺囊肿。

Case Report: Pulmonary echinococcosis misdiagnosed as bronchogenic pulmonary cysts.

作者信息

Yang Qingcheng, Wang Lyubo, Shi Yuanlong, Liu Siyun, Fan Daoguang, Wu Bencheng, Duan Yi, Xin Chenjun, Duan Lincan

机构信息

Department of Thoracic Surgery, Yunnan Cancer Hospital, Peking University Cancer Hospital, Kunming, China.

Department of Urology, Yunnan Cancer Hospital, Peking University Cancer Hospital, Kunming, China.

出版信息

Front Med (Lausanne). 2025 Mar 17;12:1533124. doi: 10.3389/fmed.2025.1533124. eCollection 2025.

DOI:10.3389/fmed.2025.1533124
PMID:40166076
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11955454/
Abstract

Echinococcosis, also known as hydatid disease, is a zoonotic parasitic infection that poses a significant risk to human health. This article delineates the diagnostic and therapeutic course of a patient afflicted with pulmonary echinococcosis who was admitted to the Department of Thoracic Surgery II at Yunnan Cancer Hospital in April 2024. The patient exhibited a history of extensive exposure to livestock and a penchant for consuming undercooked meat. Prior to undergoing surgical intervention, the patient was initially diagnosed with bronchogenic pulmonary cyst. However, subsequent pathological examination revealed a diagnosis of pulmonary echinococcosis. The rarity of the disease and the paucity of experience in diagnosis and treatment rendered the patient's case a valuable opportunity to elucidate the diagnostic and therapeutic journey. This report aims to provide a comprehensive reference for the accurate identification and treatment of pulmonary echinococcosis in future clinical practice.

摘要

棘球蚴病,又称包虫病,是一种人畜共患的寄生虫感染病,对人类健康构成重大风险。本文阐述了一名于2024年4月入住云南省肿瘤医院胸外二科的肺棘球蚴病患者的诊断和治疗过程。该患者有广泛接触家畜史且有食用未煮熟肉类的嗜好。在接受手术干预之前,患者最初被诊断为支气管源性肺囊肿。然而,随后的病理检查显示诊断为肺棘球蚴病。该疾病的罕见性以及诊断和治疗经验的匮乏,使该患者的病例成为阐明诊断和治疗过程的宝贵机会。本报告旨在为未来临床实践中准确识别和治疗肺棘球蚴病提供全面参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1622/11955454/1ff6a9132a3a/fmed-12-1533124-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1622/11955454/5cfa89cf940c/fmed-12-1533124-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1622/11955454/1ff6a9132a3a/fmed-12-1533124-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1622/11955454/5cfa89cf940c/fmed-12-1533124-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1622/11955454/1ff6a9132a3a/fmed-12-1533124-g002.jpg

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本文引用的文献

1
Bronchogenic cyst at unusual location.非典型部位的支气管源性囊肿。
Respir Med Case Rep. 2023 Nov 11;46:101947. doi: 10.1016/j.rmcr.2023.101947. eCollection 2023.
2
Clinical Presentation and Surgical Management of Five Pediatric Cases with Bronchogenic Cysts: Retrospective Case Series.5例小儿支气管源性囊肿的临床表现及外科治疗:回顾性病例系列
Children (Basel). 2022 Nov 25;9(12):1824. doi: 10.3390/children9121824.
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Unusual imaging characteristics of thoracic hydatid disease.胸内包虫病的异常影像学特征。
Radiol Bras. 2022 Mar-Apr;55(2):128-133. doi: 10.1590/0100-3984.2021.0041.
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A Multi-Epitope Chitosan Nanoparticles Vaccine of Echinococcus granulosus.棘球蚴多表位壳聚糖纳米疫苗
J Biomed Nanotechnol. 2021 May 1;17(5):910-920. doi: 10.1166/jbn.2021.3065.
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Uncommon Locations of Cystic Echinococcosis: A Report of 46 Cases from Southern Iran.囊性棘球蚴病的罕见部位:来自伊朗南部的46例报告
Surg Res Pract. 2020 Sep 18;2020:2061045. doi: 10.1155/2020/2061045. eCollection 2020.
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Intramural Bronchogenic Cysts in the Pediatric Population.儿科人群中的壁内支气管囊肿
Cureus. 2020 Feb 27;12(2):e7111. doi: 10.7759/cureus.7111.
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Pulmonary Cystic Echinococcosis: Two Cases, Two Treatment Options.肺囊性棘球蚴病:两例,两种治疗方案
Oman Med J. 2020 Feb 19;35(1):e95. doi: 10.5001/omj.2020.13. eCollection 2020 Jan.
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Biologicals. 2018 Jan;51:1-11. doi: 10.1016/j.biologicals.2017.10.003.
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Pulmonary cystic echinococcosis.肺包虫病。
Curr Opin Pulm Med. 2010 May;16(3):257-61. doi: 10.1097/MCP.0b013e3283386282.
10
Echinococcosis: a review.棘球蚴病综述
Int J Infect Dis. 2009 Mar;13(2):125-33. doi: 10.1016/j.ijid.2008.03.037. Epub 2008 Oct 19.