Abstract：
BACKGROUND: Co-infection with other microorganisms such as parasites in patients with COVID-19 can affect the clinical outcome and require prompt diagnosis and appropriate therapy.
METHODS: We present a case of an adult male with chest pain, dyspnea, cough, diplopia, and anorexia who was confirmed to have acute COVID-19 pneumonia. 2 weeks prior to admission, a hydatid lung cyst was identified on examination, but the patient refused surgery. Thoracoabdominal computed tomography (CT) revealed a rupture of the lung hydatid cyst and co-infection with COVID-19. The patient has prescribed a treatment protocol for COVID-19 and albendazole. Despite measures taken to manage severe inflammation and decreasing blood oxygen levels, the patient required admission to the intensive care unit (ICU) and intubation. After approximately 3 weeks of hospitalization, the patient was successfully extubated and discharged uneventfully from the hospital. Oral albendazole was prescribed for follow-up treatment.
CONCLUSIONS: Our case highlights the importance of considering hydatid cysts in the differential diagnosis of patients with COVID-19, especially those living in endemic areas.
METHODS: We present a case of an adult male with chest pain, dyspnea, cough, diplopia, and anorexia who was confirmed to have acute COVID-19 pneumonia. 2 weeks prior to admission, a hydatid lung cyst was identified on examination, but the patient refused surgery. Thoracoabdominal computed tomography (CT) revealed a rupture of the lung hydatid cyst and co-infection with COVID-19. The patient has prescribed a treatment protocol for COVID-19 and albendazole. Despite measures taken to manage severe inflammation and decreasing blood oxygen levels, the patient required admission to the intensive care unit (ICU) and intubation. After approximately 3 weeks of hospitalization, the patient was successfully extubated and discharged uneventfully from the hospital. Oral albendazole was prescribed for follow-up treatment.
CONCLUSIONS: Our case highlights the importance of considering hydatid cysts in the differential diagnosis of patients with COVID-19, especially those living in endemic areas.
摘要：
背景：COVID-19患者与其他微生物如寄生虫共感染会影响临床结局，需要及时诊断和适当治疗。
方法：我们介绍一例成年男性胸痛，呼吸困难,咳嗽,复视,和厌食症，被证实患有急性COVID-19肺炎。入院前2周,检查发现包虫肺囊肿,但病人拒绝手术.胸腹计算机断层扫描（CT）显示肺包虫囊肿破裂并与COVID-19合并感染。患者开出了COVID-19和阿苯达唑的治疗方案。尽管采取了治疗严重炎症和降低血氧水平的措施，患者需要进入重症监护病房(ICU)并插管.住院约3周后,病人成功拔管并顺利出院。口服阿苯达唑用于后续治疗。
结论：我们的案例强调了在COVID-19患者的鉴别诊断中考虑包虫囊肿的重要性，尤其是那些生活在流行地区的患者。
方法：我们介绍一例成年男性胸痛，呼吸困难,咳嗽,复视,和厌食症，被证实患有急性COVID-19肺炎。入院前2周,检查发现包虫肺囊肿,但病人拒绝手术.胸腹计算机断层扫描（CT）显示肺包虫囊肿破裂并与COVID-19合并感染。患者开出了COVID-19和阿苯达唑的治疗方案。尽管采取了治疗严重炎症和降低血氧水平的措施，患者需要进入重症监护病房(ICU)并插管.住院约3周后,病人成功拔管并顺利出院。口服阿苯达唑用于后续治疗。
结论：我们的案例强调了在COVID-19患者的鉴别诊断中考虑包虫囊肿的重要性，尤其是那些生活在流行地区的患者。
