Li Yiyuan, Liu Yang, Guo Qin
Department of Pediatrics, West China Second Hospital, Sichuan University, Chengdu, Sichuan, China.
Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Chengdu, Sichuan, China.
Front Pediatr. 2025 Apr 7;13:1562829. doi: 10.3389/fped.2025.1562829. eCollection 2025.
Pulmonary echinococcosis represents a significant health challenge, particularly in endemic regions, and is associated with substantial morbidity and mortality. Its nonspecific clinical presentation and radiological diversity often lead to misdiagnosis. Here, we report a case of pulmonary echinococcosis initially misdiagnosed as pulmonary tuberculosis.
We report a case of a 13-year-old girl from a region endemic for both echinococcosis and tuberculosis. She initially presented with recurrent cough, hemoptysis, night sweats, and a pulmonary cystic lesion and was diagnosed with pulmonary tuberculosis. However, her condition progressively deteriorated despite antituberculosis therapy. Ultimately, surgical intervention and histopathological examination confirmed pulmonary echinococcosis, and the patient achieved complete recovery after therapy.
For patients from regions endemic for both tuberculosis and echinococcosis who present with cough, hemoptysis, or pulmonary cystic or cavitary lesions, it is crucial to differentiate pulmonary echinococcosis from pulmonary tuberculosis. The final diagnosis should be supported by other microbiological-serological and/or histopathological tests.
肺包虫病是一项重大的健康挑战，尤其是在流行地区，且与较高的发病率和死亡率相关。其非特异性临床表现和影像学多样性常导致误诊。在此，我们报告一例最初被误诊为肺结核的肺包虫病病例。
我们报告一例来自包虫病和结核病均为流行区的13岁女孩。她最初表现为反复咳嗽、咯血、盗汗及肺部囊性病变，被诊断为肺结核。然而，尽管接受抗结核治疗，她的病情仍逐渐恶化。最终，手术干预及组织病理学检查确诊为肺包虫病，患者治疗后完全康复。
对于来自结核病和包虫病均为流行区且出现咳嗽、咯血或肺部囊性或空洞性病变的患者，区分肺包虫病和肺结核至关重要。最终诊断应得到其他微生物学 - 血清学和/或组织病理学检查的支持。
