Cystic Echinococcosis: Late Rupture and Complication of a Stable Pulmonary Cyst

Cystic echinococcosis is observed worldwide. Traditional management includes an invasive surgical approach with adjunctive chemotherapy. It has been suggested that observation alone may be appropriate in asymptomatic individuals with stable cysts. A case involving a 38-year-old Peruvian man with an...

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Main Authors: J Fisher, Y Shargall, S Krajden, F Moid, V Hoffstein
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2011/197642
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author J Fisher
Y Shargall
S Krajden
F Moid
V Hoffstein
author_facet J Fisher
Y Shargall
S Krajden
F Moid
V Hoffstein
author_sort J Fisher
collection DOAJ
description Cystic echinococcosis is observed worldwide. Traditional management includes an invasive surgical approach with adjunctive chemotherapy. It has been suggested that observation alone may be appropriate in asymptomatic individuals with stable cysts. A case involving a 38-year-old Peruvian man with an asymptomatic bronchogenic cyst (suspected to be due to echinococcus, but never definitely diagnosed) is presented. The cyst was first noted in 1998, and was followed for 10 years during which time he remained asymptomatic with minimal radiographic change. One year later, in 2009, he presented with acute rupture of the cyst causing empyema. The patient required thoracotomy, decortication and resection of the ruptured cyst. Final pathology showed Echinococcus organisms. The patient responded well to treatment with albendazole and praziquantel, and became completely asymptomatic within six months.
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institution Kabale University
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series Canadian Respiratory Journal
spelling doaj-art-480c7042b7a24f629c4339985a643f272025-02-03T05:52:50ZengWileyCanadian Respiratory Journal1198-22412011-01-0118525826010.1155/2011/197642Cystic Echinococcosis: Late Rupture and Complication of a Stable Pulmonary CystJ Fisher0Y Shargall1S Krajden2F Moid3V Hoffstein4Department of Medicine, University of Manitoba, Winnipeg, Manitoba, CanadaDepartment of Surgery, St Joseph’s Hospital, CanadaDepartment of Medicine, St Joseph’s Hospital, Toronto, Ontario, CanadaDepartment of Pathology, St Joseph’s Hospital, Toronto, Ontario, CanadaDepartment of Medicine, St Michael’s Hospital, University of Toronto, CanadaCystic echinococcosis is observed worldwide. Traditional management includes an invasive surgical approach with adjunctive chemotherapy. It has been suggested that observation alone may be appropriate in asymptomatic individuals with stable cysts. A case involving a 38-year-old Peruvian man with an asymptomatic bronchogenic cyst (suspected to be due to echinococcus, but never definitely diagnosed) is presented. The cyst was first noted in 1998, and was followed for 10 years during which time he remained asymptomatic with minimal radiographic change. One year later, in 2009, he presented with acute rupture of the cyst causing empyema. The patient required thoracotomy, decortication and resection of the ruptured cyst. Final pathology showed Echinococcus organisms. The patient responded well to treatment with albendazole and praziquantel, and became completely asymptomatic within six months.http://dx.doi.org/10.1155/2011/197642
spellingShingle J Fisher
Y Shargall
S Krajden
F Moid
V Hoffstein
Cystic Echinococcosis: Late Rupture and Complication of a Stable Pulmonary Cyst
Canadian Respiratory Journal
title Cystic Echinococcosis: Late Rupture and Complication of a Stable Pulmonary Cyst
title_full Cystic Echinococcosis: Late Rupture and Complication of a Stable Pulmonary Cyst
title_fullStr Cystic Echinococcosis: Late Rupture and Complication of a Stable Pulmonary Cyst
title_full_unstemmed Cystic Echinococcosis: Late Rupture and Complication of a Stable Pulmonary Cyst
title_short Cystic Echinococcosis: Late Rupture and Complication of a Stable Pulmonary Cyst
title_sort cystic echinococcosis late rupture and complication of a stable pulmonary cyst
url http://dx.doi.org/10.1155/2011/197642
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AT skrajden cysticechinococcosislateruptureandcomplicationofastablepulmonarycyst
AT fmoid cysticechinococcosislateruptureandcomplicationofastablepulmonarycyst
AT vhoffstein cysticechinococcosislateruptureandcomplicationofastablepulmonarycyst