0
Chest Infections |

Unusual Evolution of a Pediatric Hydatid Cyst in a 5-Year-Old Child

Simona Cambrea, PhD; Cristina Mihai, PhD; Ioan Arghir, MS; Georgios Athanasiou, MS; Valerios Kortzis, MS; Oana Arghir, PhD
Author and Funding Information

Faculty of Medicine Ovidius University, Constanta, Romania


Chest. 2014;145(3_MeetingAbstracts):121A. doi:10.1378/chest.1825695
Text Size: A A A
Published online

Abstract

SESSION TITLE: Infectious Disease Case Report Posters I

SESSION TYPE: Case Report Poster

PRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PM

INTRODUCTION: Hydatid cyst disease is caused by Echinococcus granulosus (dog tapeworm), E. multilocularis, or E. vogeli and lungs and liver are mainly involved. In Romania, the highest rate of this zoonotic disease is in Dobrogea and Ardeal (26.45%ooo).

CASE PRESENTATION: We present a case of a white boy 5 year-old diagnosed with hidatid disease having multiple hydatid cysts (one in lung and two in liver). The patient lives in a rural area of Dobrogea and had contagious contact with dogs. Because all the hydatid cysts were less than 7 cm in diameter, 3 consecutive courses of antiparasitic treatment (28 days on, separated by 14 days off) with Albendazole were started. One month after ended antiparasitic treatment, the patient was admitted in our clinic for persistent cough, prolonged fever and hemoptysis.TB diagnosis and pneumonia were taken into consideration, but it was subsequently excluded. A CT examination evidenced a crack in the pulmonary hydatid cyst. After surgical excision, the evolution was good.

DISCUSSION: Cough, hemoptysis and chest pain are not specific findings for pediatric hydatid disease. Complicated ruptured pulmonary hydatid cysts may mimick a nonresolving pneumonia, tuberculosis, a lung abscess or even a tumour.

CONCLUSIONS: Pulmonary hydatid cysts in an immunocompetent children can crack in the context of long periods of coughing.

Reference #1: Morar R, Feldman C. Pulmonary Echinococcosis. Eur Respir J 2003;21:1069-77.

Reference #2: Anadol D, Gocmen A, Kiper N, Ozçelik U. Hydatid Disease in Childhood: A Retrospective Analysis of 376 Cases. Pediatr Pulmonol 1998; 26: 190-196.

DISCLOSURE: The following authors have nothing to disclose: Simona Cambrea, Cristina Mihai, Ioan Arghir, Georgios Athanasiou, Valerios Kortzis, Oana Arghir

No Product/Research Disclosure Information


Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543