UNASSIGNED: A 32-year-old female presented with the complaints of episodic hemoptysis for the duration of two years. Radiological imaging could not provide a confirmatory diagnosis. Bronchoscopy was planned further. An endobronchial biopsy was taken for histopathological evaluation after seeing the whitish membranous structure within the right middle lobe bronchus. Hence, the diagnosis of ruptured cystic pulmonary hydatidosis was made.
UNASSIGNED: Echinococcus granulosus is the cause of cystic pulmonary hydatid disease which is transmitted through contamination by the infected definitive host, mostly dogs. Most cases remain asymptomatic for a long period. Hydatid disease has many clinical and radiological forms which should be recognized and included in the differential diagnosis of many pulmonary problems. Sometimes, imaging and serological studies may not confirm the diagnosis, histopathological evaluation may be required.
UNASSIGNED: Uncomplicated hydatid cysts are most commonly diagnosed incidentally in the adult population. Complicated hydatid cyst can present with various clinical manifestations. Episodic hemoptysis is one of the manifestations in our case. Clinicians should be aware of the typical as well as atypical manifestations of pulmonary hydatid disease.
■一名32岁的女性出现阵发性咯血,持续两年。放射学成像无法提供确认诊断。进一步计划支气管镜检查。在看到右中叶支气管内的白色膜状结构后,进行了支气管内活检以进行组织病理学评估。因此,诊断为囊性肺包虫病破裂。
■细粒棘球蚴是由感染的最终宿主通过污染传播的囊性肺包虫病的原因,主要是狗。大多数病例长期无症状。包虫病具有许多临床和放射学形式,应被识别并包括在许多肺部问题的鉴别诊断中。有时候,影像学和血清学研究可能无法确认诊断,可能需要进行组织病理学评估。
■无并发症包虫囊肿最常见于成人人群。复杂的包虫囊肿可表现为多种临床表现。发作性咯血是我们病例的表现之一。临床医生应了解肺包虫病的典型和不典型表现。