Chest Infections |

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

Simona Cambrea, PhD; Cristina Mihai, PhD; Ioan Arghir, MS; Georgios Athanasiou, MS; Valerios Kortzis, MS; Oana Arghir, PhD
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Faculty of Medicine Ovidius University, Constanta, Romania

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

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