International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 4, Issue 10 | Case Report | Open Access
Degli Antoni M*
Tocci G1#, Degli Antoni M2#*, Lepera V1, Palladini G1, Zappavigna A1, Paolillo F2, Delfanti R3, Trapani F2 and Lo Cascio G1,4
1Microbiology Unit, Department of Clinical Pathology, AUSL Piacenza, Italy
2Infectious Diseases Unit, Department of Medical Specialties, AUSL Piacenza, Italy
3General surgery Unit, Department of Surgery, AUSL Piacenza, Italy
4Medicine and Surgery Department, University of Parma, Parma, Italy
#These authors contributed equally to this work
*Correspondence to: Degli Antoni M
Fulltext PDFBackground: Pulmonary hydatidosis, a zoonotic infection caused by the larval stage of Echinococcus granulosus, is an uncommon manifestation of cystic echinococcosis. While the liver is the primary site of involvement, pulmonary involvement in relatively rare, making these cases relatively diagnostically challenging. This case report presents the clinical features, diagnostic workup, and successful treatment of a young man with isolated pulmonary hydatid disease, emphasizing the importance of considering this rare etiology in the differential diagnosis of cystic lung lesions. Case Presentation: In early 2024, the patient was admitted to a secondary level hospital with asthenia, weight loss, and hemoptysis. A chest CT scan revealed two fluid-filled cystic lesions. Blood tests showed eosinophilia and elevated inflammatory markers. Serological testing for E. granulosus resulted positive, and surgical intervention was recommended. Parasitological examination of intraoperative specimens confirmed the presence of E. granulosus, which was also verified histologically. Following two surgical procedures and prolonged pharmacological treatment, the patient achieved complete clinical remission. Conclusion: Timely and accurate microbiological diagnosis is essential in the management of echinococcosis. The treatment of pulmonary cysts poses significant challenges, both surgically, due to the risk of rupture and dissemination, and therapeutically, given the limited data on optimal treatment duration.
Hydatid disease; Echinococcosis; Pulmonary disease; Parasites
Tocci G, Degli Antoni M, Lepera V, Palladini G, Zappavigna A, Paolillo F, Trapani F, et al. Beyond the Liver: A Rare Case of Bilateral Pulmonary Cystic Echinococcosis. Int Clinc Med Case Rep Jour. 2025;4(10):1-8.