ISSN : 2146-3123
E-ISSN : 2146-3131

A Case of Ruptured Hydatid Cyst With Upper Lobe Localization That Imitated Active Lung Tuberculosis
Burcu Özlen 1, Levent Özdemir 1, Güldeniz Altıay 1, Osman Nuri Hatipoğlu 1, Yener Yörük 2, Erhan Tabakoğlu 3
1Trakya Üniversitesi Tıp Fakültesi Göğüs Hastalıkları Anabilim Dalı, Edirne
2Trakya Üniversitesi Tıp Fakültesi Göğüs Cerrahisi Anabilim Dalı, Edirne
3Trakya Üniversitesi Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Edirne, Turkey
Pages : 146-149

Abstract

Hydatid cyst is a parasitic infestation caused by Echinococcus granulosus. Although liver is the most common site of infection, lungs may also be affected in 10 to 30 % of cases. The cyst is usually located in the lower lobes of the lungs. A 49-year-old male patient with a cavitary lesion in the posterior segment of the right upper lobe, was admitted to the tuberculosis ward with a preliminary diagnosis of lung tuberculosis (TB), and anti-TB treatment was started empirically. Bronchoscopy was performed after three different sputum examinations with negative results for acid-fast bacilli (AFB). Bronchoalveolar lavage examination was also negative for AFB. High resolution computed tomography showed findings of a ruptured hydatid cyst, rather than TB. A cysctotomy was performed to the patient whose indirect hemagglutination test result was negatıve for hydatid cyst.

Keywords : Echinococcosis, pulmonary/radiography; computed tomography, X-ray; tuberculosis, pulmonary

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