PDF(Pubmed)
Abstract：
We report the unusual case of a 5-year-old migrant boy from a rural area of Morocco with an almost-giant lung hydatid cyst that was an incidental finding on a chest X-ray performed during routine visa procedures. Echinococcus granulosus serology test was initially negative with subsequent positive seroconversion. Albendazole was started at 4 weeks before surgery and maintained for 4 months, with a favourable outcome. Cystic echinococcosis (CE) is considered a neglected tropical disease and affects more than one million people worldwide, mostly from a lower socioeconomic background. Preventive measures have been limited in underdeveloped regions. Children with CE are especially vulnerable, due not only to the high pathogenic potential of the disease but also to their frequent involvement in challenging socioeconomic situations, including migration. The incidence of CE is increasing in Europe because of high immigration flows from endemic countries. Nevertheless, CE is not covered by current migrant screening protocols.
摘要：
我们报告了一个来自摩洛哥农村地区的5岁移民男孩的不寻常病例，该男孩患有几乎巨大的肺包虫囊肿，这是在常规签证程序中进行的胸部X光检查中偶然发现的。细粒棘球蚴血清学试验最初为阴性，随后为阳性血清转换。阿苯达唑在手术前4周开始并维持4个月，一个有利的结果。囊性包虫病（CE）被认为是一种被忽视的热带病，影响全球超过一百万人，主要来自较低的社会经济背景。不发达地区的预防措施有限。患有CE的儿童尤其脆弱，不仅由于这种疾病的高致病性潜力，而且由于它们经常参与具有挑战性的社会经济状况，包括移民。由于来自流行国家的大量移民，欧洲的CE发病率正在增加。然而，目前的移民筛查方案不包括CE。
