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Primary Pleural Hydatidosis—A Rare Occurrence: A Case Report and Literature Review
Introduction: The larvae of Echinococcus, a parasitic tapeworm, cause hydatid disease. The most commonly involved organ after the liver is the lung but there are cases of hydatid cysts in all systems and organs, such as brain, muscle tissue, adrenal glands, mediastinum and pleural cavity. Extra-pulm...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7694107/ https://www.ncbi.nlm.nih.gov/pubmed/33121083 http://dx.doi.org/10.3390/medicina56110567 |
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author | Savu, Cornel Melinte, Alexandru Grigorie, Vasile Iliescu, Laura Diaconu, Camelia Dimitriu, Mihai Socea, Bogdan Stiru, Ovidiu Varlas, Valentin Savu, Carmen Balescu, Irina Bacalbasa, Nicolae |
author_facet | Savu, Cornel Melinte, Alexandru Grigorie, Vasile Iliescu, Laura Diaconu, Camelia Dimitriu, Mihai Socea, Bogdan Stiru, Ovidiu Varlas, Valentin Savu, Carmen Balescu, Irina Bacalbasa, Nicolae |
author_sort | Savu, Cornel |
collection | PubMed |
description | Introduction: The larvae of Echinococcus, a parasitic tapeworm, cause hydatid disease. The most commonly involved organ after the liver is the lung but there are cases of hydatid cysts in all systems and organs, such as brain, muscle tissue, adrenal glands, mediastinum and pleural cavity. Extra-pulmonary intrathoracic hydatidosis can be a diagnostic challenge and a plain chest x-ray can be misleading. It can also lead to severe complications such as anaphylactic shock or tension pneumothorax. The purpose of this paper is to present a severe case of primary pleural hydatidosis, as well as discussing the difficulties that come with it during diagnosis and treatment. Case Report: We present the case of a 43-year-old male, working as a shepherd, presenting with moderate dyspnea, chest pain and weight loss. Chest x-ray revealed an uncharacteristic massive right pleural effusion and thoracic computed tomography (CT) confirmed it, as well as revealing multiple cystic formations of various sizes and liquid density within the pleural fluid. Blood work confirmed our suspicion of pleural hydatidosis with an elevated eosinophil count, typical in parasite diseases. Surgery was performed by right lateral thoracotomy and consisted of removal of the hydatid fluid and cysts found in the pleura. Patient was discharged 13 days postoperative with Albendazole treatment. Conclusion: Cases of primary pleural hydatidosis are very rare but must be taken into consideration in patients from endemic regions with jobs that may have exposure to this parasite. Proper treatment, both surgical and antiparasitic medication, can lead to a full recovery and a low chance of recurrent disease. |
format | Online Article Text |
id | pubmed-7694107 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-76941072020-11-28 Primary Pleural Hydatidosis—A Rare Occurrence: A Case Report and Literature Review Savu, Cornel Melinte, Alexandru Grigorie, Vasile Iliescu, Laura Diaconu, Camelia Dimitriu, Mihai Socea, Bogdan Stiru, Ovidiu Varlas, Valentin Savu, Carmen Balescu, Irina Bacalbasa, Nicolae Medicina (Kaunas) Case Report Introduction: The larvae of Echinococcus, a parasitic tapeworm, cause hydatid disease. The most commonly involved organ after the liver is the lung but there are cases of hydatid cysts in all systems and organs, such as brain, muscle tissue, adrenal glands, mediastinum and pleural cavity. Extra-pulmonary intrathoracic hydatidosis can be a diagnostic challenge and a plain chest x-ray can be misleading. It can also lead to severe complications such as anaphylactic shock or tension pneumothorax. The purpose of this paper is to present a severe case of primary pleural hydatidosis, as well as discussing the difficulties that come with it during diagnosis and treatment. Case Report: We present the case of a 43-year-old male, working as a shepherd, presenting with moderate dyspnea, chest pain and weight loss. Chest x-ray revealed an uncharacteristic massive right pleural effusion and thoracic computed tomography (CT) confirmed it, as well as revealing multiple cystic formations of various sizes and liquid density within the pleural fluid. Blood work confirmed our suspicion of pleural hydatidosis with an elevated eosinophil count, typical in parasite diseases. Surgery was performed by right lateral thoracotomy and consisted of removal of the hydatid fluid and cysts found in the pleura. Patient was discharged 13 days postoperative with Albendazole treatment. Conclusion: Cases of primary pleural hydatidosis are very rare but must be taken into consideration in patients from endemic regions with jobs that may have exposure to this parasite. Proper treatment, both surgical and antiparasitic medication, can lead to a full recovery and a low chance of recurrent disease. MDPI 2020-10-27 /pmc/articles/PMC7694107/ /pubmed/33121083 http://dx.doi.org/10.3390/medicina56110567 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Savu, Cornel Melinte, Alexandru Grigorie, Vasile Iliescu, Laura Diaconu, Camelia Dimitriu, Mihai Socea, Bogdan Stiru, Ovidiu Varlas, Valentin Savu, Carmen Balescu, Irina Bacalbasa, Nicolae Primary Pleural Hydatidosis—A Rare Occurrence: A Case Report and Literature Review |
title | Primary Pleural Hydatidosis—A Rare Occurrence: A Case Report and Literature Review |
title_full | Primary Pleural Hydatidosis—A Rare Occurrence: A Case Report and Literature Review |
title_fullStr | Primary Pleural Hydatidosis—A Rare Occurrence: A Case Report and Literature Review |
title_full_unstemmed | Primary Pleural Hydatidosis—A Rare Occurrence: A Case Report and Literature Review |
title_short | Primary Pleural Hydatidosis—A Rare Occurrence: A Case Report and Literature Review |
title_sort | primary pleural hydatidosis—a rare occurrence: a case report and literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7694107/ https://www.ncbi.nlm.nih.gov/pubmed/33121083 http://dx.doi.org/10.3390/medicina56110567 |
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