C. Moreno-Licea, H. Medina-Franco, J. Guerrero-Ixtláhuac, F. Chablé-Montero
Introduction: Primary pleural hydatidosis is a rare disease. It is defined as a hydatid cyst within or dependent of the pleural space that has not been produced by rupture from another location and/or does not appear simultaneously or is preceded by another cyst, liver or lung. Presentation of the Case: A 26-year-old woman, non-smoker, was taken to the emergency room for fever of 1 day of evolution, without other symptoms. No relevant medical history. Nasopharyngeal swab was performed for RT-PCR SARS-CoV-2 RNA, which was negative. The chest radiograph without abnormalities. Chest CT showed a lobulated lesion in its anterior portion and smooth in its posterior part, adjacent to the 5th and 6th right vertebral bodies, respecting cortices, 42 mm × 16 mm, did not present reinforcement with contrast IV. The biopsy of the lesion was scheduled, the preoperative analyzes were normal. The histology showed, a hydatid cyst due to Echinococcus granulosus. Currently the patient is asymptomatic and has no recurrence. Discussion: Most of the case report present the individual importance of extrapulmonary-intrathoracic hydatidosis of pleural location in the analysis of the 100-year literature that we performed. It is important to consider the primary pleural hydatid cyst within the differential diagnoses of pulmonary cystic disease, especially in endemic areas of E. granulosus infection, and to take into account the wide clinical variability of its presentation. Conclusion: Extrathoracic intrapulmonary hydatidosis is uncommon, however, the pleura is the most common site, so the presence of a lesion should be evaluated. CORRESPONDING AUTHOR: Carolina Moreno-Licea
简介:原发性胸膜包虫病是一种罕见的疾病。它被定义为在胸膜间隙内或依赖于胸膜间隙的包虫囊肿，该包虫囊肿不是由其他部位破裂产生的，并且/或者不是同时出现的，或者之前有另一个囊肿、肝或肺。病例介绍:一名26岁女性，非吸烟者，因发热1天，无其他症状被送往急诊室。无相关病史采用鼻咽拭子进行SARS-CoV-2 RNA RT-PCR检测，结果为阴性。胸片未见异常。胸部CT示前部分叶状病变，后部光滑，毗邻右侧第5、第6椎体，相对于皮质，42 mm × 16 mm，对比剂IV未见强化。已安排病变活检，术前分析正常。组织学显示为细粒棘球绦虫所致的包虫病。目前患者无症状，无复发。讨论:在我们进行的100年文献分析中，大多数病例报告都提出了胸膜部位肺外-胸内包虫病的个体重要性。在肺囊性疾病的鉴别诊断中，特别是在颗粒棘球绦虫感染的流行地区，考虑原发性胸膜包虫病是很重要的，并考虑到其表现的广泛临床变异性。结论:胸外肺内包虫病并不常见，但胸膜是最常见的部位，因此应评估是否有病变。通讯作者:Carolina Moreno-Licea
{"title":"Primary Pleural Hydatid Cyst: Case Report and Literature Review","authors":"C. Moreno-Licea, H. Medina-Franco, J. Guerrero-Ixtláhuac, F. Chablé-Montero","doi":"10.29337/AMSCR.3","DOIUrl":"https://doi.org/10.29337/AMSCR.3","url":null,"abstract":"Introduction: Primary pleural hydatidosis is a rare disease. It is defined as a hydatid cyst within or dependent of the pleural space that has not been produced by rupture from another location and/or does not appear simultaneously or is preceded by another cyst, liver or lung. Presentation of the Case: A 26-year-old woman, non-smoker, was taken to the emergency room for fever of 1 day of evolution, without other symptoms. No relevant medical history. Nasopharyngeal swab was performed for RT-PCR SARS-CoV-2 RNA, which was negative. The chest radiograph without abnormalities. Chest CT showed a lobulated lesion in its anterior portion and smooth in its posterior part, adjacent to the 5th and 6th right vertebral bodies, respecting cortices, 42 mm × 16 mm, did not present reinforcement with contrast IV. The biopsy of the lesion was scheduled, the preoperative analyzes were normal. The histology showed, a hydatid cyst due to Echinococcus granulosus. Currently the patient is asymptomatic and has no recurrence. Discussion: Most of the case report present the individual importance of extrapulmonary-intrathoracic hydatidosis of pleural location in the analysis of the 100-year literature that we performed. It is important to consider the primary pleural hydatid cyst within the differential diagnoses of pulmonary cystic disease, especially in endemic areas of E. granulosus infection, and to take into account the wide clinical variability of its presentation. Conclusion: Extrathoracic intrapulmonary hydatidosis is uncommon, however, the pleura is the most common site, so the presence of a lesion should be evaluated. CORRESPONDING AUTHOR: Carolina Moreno-Licea","PeriodicalId":347212,"journal":{"name":"AMS Case Reports","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133347750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：