Echinococosis lung: A Cyto-histopathogical study in two cases

  • Rimi Pandey VPIMS Lucknow
  • Nivedita Yadav VPIMS
  • Padam Kumari Agarwal VPIMS
  • Suruchi Shukla VPIMS
  • Mustafa Ali VPIMS
  • Pooja Singh VPIMS Lucknow
Keywords: Echinococcosis lung, Lung mass, Cytology, Hydatid cyst

Abstract

Echinococcosis is a parasitic infestation caused by the cestode of the genus Echinococcus. Man serves as an intermediate host and becomes infected by accidental ingestion of eggs from soil, water or by direct contact with the definitive host (dog). The present communication deals with two cases of echinococcosis of the lung. The presenting chief complaints were of breathlessness and dry cough. Routine haematological investigations revealed relative lymphocytosis in both the cases. However X-ray chest and CT showed a mass in the left lung in one case and a mass in the right lung in another case.  For further evaluation CT guided fine needle aspiration cytology (FNAC) was performed in case one and the final diagnosis of hydatid cyst lung was established. In another case surgery was performed. Histopathological examination, established the diagnosis of echinococcosis lung. Both the patients were treated accordingly and responded well to antihelminthic regime of therapy. DOI: 10.21276/APALM.1181

Author Biographies

Rimi Pandey, VPIMS Lucknow
PATHOLOGY
Nivedita Yadav, VPIMS
Pathology
Padam Kumari Agarwal, VPIMS
Pathology
Suruchi Shukla, VPIMS
Microbiology
Pooja Singh, VPIMS Lucknow
Pathology

References

1. Eckert J, Schantz P, Gasser R,et al. Geographic distribution and prevalence. In: Eckert J, Gemmell MA, Meslin FX, Pawlowski ZS, eds. WHO/OIE Manual on Echinococcosis in Humans and Animals: a Public Health Problem of Global Concern. Paris: World Organization for Animal Health, 2001: 100-141.
2. Eckert J, Deplazes P. Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern. ClinMicrobiol Rev. 2004; 17: 107–135
3.Ahmad S, Jalil S, Saleem Y, et al. Hydatid cysts at unusual sites: reports of two cases in the neck and breast. J Pak Med Assoc 2010; 60: 232-4.
4. Sokouti M, Shokouhi B, Sokouti M et al. Giant Pulmonary Hydatid Cyst and Trauma in a 9 Year-Old Child: A Case Report. Open Respir Med J. 2015; 9: 67–69.
5. Basavana GH, Siddesh G, Jayaraj BS, et al. A ruptured hydatid cyst of the lung. JAPI.2007; 55:141-45.
6. Tekinbas C, Turedi S, Gunduz A, Erol M. Hydatid cyst disease of the lung as an unusual cause of massive hemoptysis: a case report. Journal of Medical Case Reports .2009; 3:21.
7. Mitra S, Kundu S, Das S, Mukherjee S. Mediastinal hydatid disease: an unusual presentation. Indian J Chest Dis Allied Sci.2010; 52: 245-47.
8. Das DK, Bhambhani S, Pant CS. Ultrasound guided fine needle aspiration cytology: diagnosis of hydatid disease of the abdomen and thorax. Diagn Cytopathol 1995 March; 12 (2): 173-6.
9. Agarwal P K, Husain N, Singh B N. Cytologic findings in aspiratedhydatid fluid. Acta Cytol 1989; 33: 652-654.
Published
2017-05-29
Section
Case Report