A CASE OF PRIMARY PULMONARY ECHINOCOCCOSIS PRESENTING AS LEFT SIDED GROSS PLEURAL EFFUSION
Journal Title: IJAR-Indian Journal of Applied Research - Year 2019, Vol 9, Issue 6
Abstract
Invasion of the human lungs by the larvae of the dog tapeworm Echinococcus granulosus (pulmonary cystic echinococcosis, PCE) is an incapacitating disease, frequently found across a wide geographic area, CE is endemic in many parts of the world, particularly the Mediterranean countries, Central Asia including the Tibetan Plateau, Northern and Eastern Africa, Australia, and South America. [1] Global burden of the human AE is approximately 18,235 new cases per annum with the majority (91%) occurring in China. [2] We report a case of 17-year-old girl student who presented with complaints of left sided pleuritic chest pain, fever and dyspnoea. X-ray chest PA view revealed gross pleural effusion on left side that was exudative in nature and did not respond to antibiotics and anti-tuberculous therapy. HRCT chest revealed large loculated cystic lesion showing calcification in left upper lobe parenchymal region suggestive of ruptured hydatid cyst. IgG antibody for E granulosus was positive. Ultrasound scan of abdomen and pelvis were within normal limits. A diagnosis of Primary pulmonary echinococcosis was made. She was treated successfully with Albendazole 400 mg bid for 21 days; six such cycles 14 days apart.
Authors and Affiliations
Dr Kanishka Gupta, Brig (Dr) A. K. Srivastava, Dr Manoj Waghmare, Brig (Dr) Arun Tyagi
Keywords
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