Display options
Cite
Mahmood N, Azam H, Ali MI, et al. Pulmonary hydatid cyst with complicating Aspergillus infection presenting as a refractory lung abscess. Clin Med Insights Case Rep. 2011;4:63-8doi: 10.4137/CCRep.S8020.
Mahmood, N., Azam, H., Ali, M. I., & Khan, M. A. (2011). Pulmonary hydatid cyst with complicating Aspergillus infection presenting as a refractory lung abscess. Clinical medicine insights. Case reports, 463-8. https://doi.org/10.4137/CCRep.S8020
Mahmood, Nader, et al. "Pulmonary hydatid cyst with complicating Aspergillus infection presenting as a refractory lung abscess." Clinical medicine insights. Case reports vol. 4 (2011): 63-8. doi: https://doi.org/10.4137/CCRep.S8020
Mahmood N, Azam H, Ali MI, Khan MA. Pulmonary hydatid cyst with complicating Aspergillus infection presenting as a refractory lung abscess. Clin Med Insights Case Rep. 2011;4:63-8. doi: 10.4137/CCRep.S8020. Epub 2011 Nov 09. PMID: 22174591; PMCID: PMC3235990.
Copy Download .nbib Format: NLM
Share it on

Clin Med Insights Case Rep. 2011;4:63-8. doi: 10.4137/CCRep.S8020. Epub 2011 Nov 09.

Pulmonary hydatid cyst with complicating Aspergillus infection presenting as a refractory lung abscess.

Clinical medicine insights. Case reports

Nader Mahmood, Hamad Azam, M Imran Ali, M Anees Khan

Affiliations

  1. Pulmonary Fellow, St. Joseph's Regional Medical Center, Pulmonary Division, Paterson, NJ.

PMID: 22174591 PMCID: PMC3235990 DOI: 10.4137/CCRep.S8020

Abstract

BACKGROUND: Hydatid disease is rare in the United States. Rarely the hydatid cyst can become infected with mycotic organisms, such as Aspergillus. We describe a young male who presents with clinical features of suppurative lung abscess whose workup diagnosed hydatid cyst complicated by Aspergillus co-infection.

CASE PRESENTATION: A 27-year-old Peruvian male was hospitalized because of fever, chills, and productive cough of three months' duration. Clinical features were consistent with a suppurative lung abscess. Significant findings included leukocytosis with eosinophilia and a chest x-ray showing a large lingular lobe thick-walled cavity with a wavy irregular fluid level. The patient ultimately underwent surgical resection of the lingular lobe. Examination of the surgical specimen revealed the cavity to be a hydatid cyst. Histologic examination of the cyst wall showed intense inflammation and several septate hyphae of Aspergillus species. The patient recovered fully and has remained in good health.

CONCLUSION: A thick-walled cavity and a wavy meniscus constitute unusual features for an ordinary pyogenic lung abscess and suggests other possibilities. Endogenous cases of hydatid disease are uncommon in the United States, with the majority of cases occurring in immigrants. There are few published case reports describing incidental findings of Aspergillus in a hydatid cyst. The rare occurrence of such a condition can lead to a delay in diagnosis and treatment.

Keywords: Aspergillus; aspergilloma; echinococcosis; hydatid cyst; lung abscess; lung cavity

References

  1. Cell Microbiol. 2010 Nov;12(11):1535-43 - PubMed
  2. Eur Respir J. 2003 Jun;21(6):1069-77 - PubMed
  3. Am J Trop Med Hyg. 2002 Mar;66(3):325-7 - PubMed
  4. Ann Thorac Surg. 1988 Sep;46(3):342-6 - PubMed
  5. Int J Infect Dis. 2008 May;12(3):248-51 - PubMed
  6. Br J Dis Chest. 1980 Jul;74(3):306-8 - PubMed
  7. Thorax. 1989 Mar;44(3):192-9 - PubMed
  8. AJR Am J Roentgenol. 1985 Sep;145(3):639-48 - PubMed
  9. Am J Roentgenol Radium Ther Nucl Med. 1967 Mar;99(3):660-7 - PubMed
  10. Heart Lung. 1983 Nov;12(6):597-600 - PubMed
  11. Am J Med. 1958 Nov;25(5):759-70 - PubMed
  12. Am Rev Respir Dis. 1968 Jul;98(1):1-15 - PubMed
  13. Am J Gastroenterol. 1983 Sep;78(9):584-8 - PubMed
  14. Ann Trop Med Parasitol. 1986 Aug;80(4):403-19 - PubMed
  15. Am J Surg. 1985 Nov;150(5):568-73 - PubMed
  16. Chest. 1990 Apr;97(4):997-9 - PubMed
  17. J Trop Med Hyg. 1995 Dec;98(6):416-8 - PubMed
  18. Am J Roentgenol Radium Ther Nucl Med. 1974 Dec;122(4):692-707 - PubMed
  19. Clin Infect Dis. 2003 Oct 1;37 Suppl 3:S265-80 - PubMed
  20. Arch Intern Med. 1983 Feb;143(2):303-8 - PubMed

Publication Types