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Giant isolated hydatid lung cyst: two case reports 

BACKGROUND: Echinococcosis is a parasitic disease caused by Echinococcus granulosus and causes cystic lesions in the liver and lungs commonly. It is endemic in many parts of the world, and though humans are incidental hosts of the parasite, the disease can have severe consequences. CASE PRESENTATION...

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Autores principales: Lodhia, Jay, Chugulu, Samwel, Sadiq, Adnan, Msuya, David, Mremi, Alex
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7585214/
https://www.ncbi.nlm.nih.gov/pubmed/33097083
http://dx.doi.org/10.1186/s13256-020-02524-4
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author Lodhia, Jay
Chugulu, Samwel
Sadiq, Adnan
Msuya, David
Mremi, Alex
author_facet Lodhia, Jay
Chugulu, Samwel
Sadiq, Adnan
Msuya, David
Mremi, Alex
author_sort Lodhia, Jay
collection PubMed
description BACKGROUND: Echinococcosis is a parasitic disease caused by Echinococcus granulosus and causes cystic lesions in the liver and lungs commonly. It is endemic in many parts of the world, and though humans are incidental hosts of the parasite, the disease can have severe consequences. CASE PRESENTATION: We present two patients from pastoralist (Maasai) communities in rural Tanzania with long-standing chest pain accompanied by hemoptysis. Both were managed surgically after diagnosis, but one patient died of the complications following rapture of the cyst during surgery. Histopathological evaluation of the specimens confirmed the diagnosis of giant hydatid cysts. CONCLUSION: Animal-keeping communities such as the Maasai are at risk of echinococcosis because of their close proximity to animals. The diagnosis can be made on the basis of history and radiological as well as laboratory findings. Surgery is a recommended mode of treatment, though it carries a high risk, especially when the cyst ruptures. Primary preventive measures are thus necessary in order to avoid the secondary and tertiary complications of the management of giant hydatid cysts, which is difficult in resource-limited endemic areas.
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spelling pubmed-75852142020-10-26 Giant isolated hydatid lung cyst: two case reports  Lodhia, Jay Chugulu, Samwel Sadiq, Adnan Msuya, David Mremi, Alex J Med Case Rep Case Report BACKGROUND: Echinococcosis is a parasitic disease caused by Echinococcus granulosus and causes cystic lesions in the liver and lungs commonly. It is endemic in many parts of the world, and though humans are incidental hosts of the parasite, the disease can have severe consequences. CASE PRESENTATION: We present two patients from pastoralist (Maasai) communities in rural Tanzania with long-standing chest pain accompanied by hemoptysis. Both were managed surgically after diagnosis, but one patient died of the complications following rapture of the cyst during surgery. Histopathological evaluation of the specimens confirmed the diagnosis of giant hydatid cysts. CONCLUSION: Animal-keeping communities such as the Maasai are at risk of echinococcosis because of their close proximity to animals. The diagnosis can be made on the basis of history and radiological as well as laboratory findings. Surgery is a recommended mode of treatment, though it carries a high risk, especially when the cyst ruptures. Primary preventive measures are thus necessary in order to avoid the secondary and tertiary complications of the management of giant hydatid cysts, which is difficult in resource-limited endemic areas. BioMed Central 2020-10-24 /pmc/articles/PMC7585214/ /pubmed/33097083 http://dx.doi.org/10.1186/s13256-020-02524-4 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Lodhia, Jay
Chugulu, Samwel
Sadiq, Adnan
Msuya, David
Mremi, Alex
Giant isolated hydatid lung cyst: two case reports 
title Giant isolated hydatid lung cyst: two case reports 
title_full Giant isolated hydatid lung cyst: two case reports 
title_fullStr Giant isolated hydatid lung cyst: two case reports 
title_full_unstemmed Giant isolated hydatid lung cyst: two case reports 
title_short Giant isolated hydatid lung cyst: two case reports 
title_sort giant isolated hydatid lung cyst: two case reports 
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7585214/
https://www.ncbi.nlm.nih.gov/pubmed/33097083
http://dx.doi.org/10.1186/s13256-020-02524-4
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