Pulmonary Echinococcosis with Chest Wall Involvement in a Patient with no Apparent Risk Factors

Pulmonary hydatid disease is rare in the U.K., and chest wall involvement has to our knowledge not previously been described in this country. We report the case of a 72-year-old man who was found to have a left upper lobe opacity on his chest radiograph. He declined further investigation at the time...

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Bibliographic Details
Published in:The Journal of infection 2001-05, Vol.42 (4), p.285-288
Main Authors: Redington, A.E., Russell, S.G., Ladhani, S., Tungekar, M.F., Rees, P.J.
Format: Article
Language:English
Subjects:
Aged
Albendazole - therapeutic use
Animals
Anthelmintics - therapeutic use
Biological and medical sciences
Biopsy, Needle
Diagnosis, Differential
Diseases caused by cestodes
Echinococcoses
Echinococcosis, Pulmonary - diagnosis
Echinococcosis, Pulmonary - diagnostic imaging
Echinococcosis, Pulmonary - drug therapy
Echinococcus - isolation & purification
Fatal Outcome
Helminthic diseases
Humans
Infectious diseases
Male
Medical sciences
Parasitic diseases
Radiography
Risk Factors
Thorax - microbiology
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Summary:Pulmonary hydatid disease is rare in the U.K., and chest wall involvement has to our knowledge not previously been described in this country. We report the case of a 72-year-old man who was found to have a left upper lobe opacity on his chest radiograph. He declined further investigation at the time, but 2 years later developed a palpable mass over his left lateral chest wall. Fine-needle aspiration-biopsy of this mass revealed the diagnosis of pulmonary hydatid disease. Despite thorough questioning, no risk factor could be identified for the development of the disease. Hydatid disease should be remembered as a rare cause of mass lesions identified on chest radiographs even in non-endemic regions. Spread to the chest wall may mimic malignancy.
ISSN:0163-4453
1532-2742
DOI:10.1053/jinf.2001.0790