Chest
Selected ReportsNonsurgical Therapy for Pulmonary Hydatid Cyst Disease
Section snippets
CASE REPORT
A 27-year-old Peruvian journalist, who immigrated to the United States in 1985, was seen at a local emergency department for fever (a temperature of 39.4°C), productive cough, shortness of breath, pleuritic chest pain, and streaky hemoptysis of 2 days' duration. A chest x-ray film revealed a 12-cm cystic mass in the upper portion of the lower lobe of the left lung (Fig 1, top). A diagnosis of bronchitis and possible recurrence of previous pulmonary echinococcal disease was made; the patient
DISCUSSION
Traditional treatment of E granulosus infection entails surgical removal of the cyst.6 This approach carries a morbidity of 0 to 13%; and mortality of 0 to 5%;, while recurrence of cysts varies from 2 to 30%; over 5 years even without obvious spillage of cyst contents.6,7 More recently, prophylaxis and treatment with the benzimidazole carbamates, most notably albendazole, have shown significant efficacy.7,8,10 Treatment and prophylaxis regimens are only partially effective, and normally
REFERENCES (17)
- et al.
Pulmonary hydatid disease: report of 100 patients
Ann Thorac Surg
(1977) - et al.
Surgical treatment of pulmonary hydatidosis
J Thorac Cardiovasc Surg
(1981) Thoracic hyatid cysts: a report of 842 cases treated over a thirty-year period
Ann Thorac Surg
(1988)Chemotherapy of Echinococcus infection in man with albendazole
Trans R Soc Trop Med Hyg
(1989)- et al.
Intestinal helminths
Complications of Echinococcus cyst rupture: a study of 30 cases
JAMA
(1966)Guidelines for treatment of cystic and alveolar echinococcosis in humans
Bull World Health Org
(1996)- et al.
Therapy of human hydatid disease with mebendazole and albendazole
Antimierob Agents Chemother
(1993)