PDF(Pubmed)
Abstract：
Echinococcus granulosus causes hydatid cysts, a significant zoonotic and pulmonary parasitic disease that can mimic various pathologies and is often harder to manage than the disease itself. A hydatid cyst is considered a significant health problem in India, Iran, China, and Mediterranean countries, which lack satisfactory environmental health, preventive medicine, and veterinarian services. Echinococcosis continues to be a major community health burden in several countries, and in some terrains, it constitutes an emerging and re-emerging disease. Cystic echinococcosis is the most common human disease of this genus, and it accounts for a significant number of cases worldwide. Herein, a case involving an 11-year-old presenting with fever, dry cough, and right hypochondrial pain is presented, where imaging revealed a hydatid cyst in the lung. Surgical removal of the cyst was achieved through right posterolateral thoracotomy under one-lung ventilation and anesthesia using intubation with a double-lumen endotracheal tube (DLET or DLT), highlighting surgery as the primary treatment despite the lack of consensus on surgical methods. This case underscores the effectiveness of individualized, parenchyma-preserving surgery for even large, uncomplicated cysts, indicating a positive prognosis.
摘要：
细粒棘球蚴引起包虫囊肿，一种重要的人畜共患和肺寄生虫病，可以模仿各种病理，通常比疾病本身更难控制。包虫囊肿在印度被认为是一个重大的健康问题，伊朗,中国,地中海国家,缺乏令人满意的环境卫生，预防医学,和兽医服务。棘球蚴病仍然是几个国家的主要社区健康负担，在一些地形中,它构成了一种新出现和重新出现的疾病。囊性包虫病是该属最常见的人类疾病，它在全球范围内占了很大比例。在这里，涉及一名11岁发烧的病例，干咳,出现右侧软骨下痛，影像学显示肺部有包虫囊肿.在单肺通气和使用双腔气管导管（DLET或DLT）插管的麻醉下，通过右后外侧开胸手术切除囊肿。尽管对手术方法缺乏共识，但仍强调手术是主要治疗方法。这个案例强调了个性化的有效性，即使是大型的保留实质的手术，简单的囊肿,表明预后良好。
