Abstract：
This report describes a male in his late 20s who presented with a 2-month history of recurrent haemoptysis and chest pain. A chronic infection, such as tuberculosis, was suspected. He had undergone surgical resection of an intrapericardial hydatid cyst in the past. His blood investigations showed peripheral eosinophilia, and his chest X-ray showed a cystic oval lesion in the left upper zone. A CT pulmonary angiogram revealed filling defects in the bilateral segmental and subsegmental arteries with a cystic lesion in the left upper lobe. Further workup, including bronchoalveolar lavage culture and MRI of the thorax, confirmed the diagnosis of a hydatid cyst of pulmonary echinococcosis. This case illustrates the presentation of multisystemic echinococcosis in a young male with no other risk factors, initially treated with surgical resection and antihelminthic therapy. The disease later recurred, which required prolonged medications, which brought the patient into remission.
摘要：
该报告描述了一名20多岁的男性，他有2个月的反复咯血和胸痛病史。慢性感染,如肺结核，被怀疑。过去，他曾接受过心包内包虫囊肿的手术切除。他的血液检查显示周围嗜酸性粒细胞增多,他的胸部X光检查显示左上区有囊性卵圆病变。CT肺血管造影显示，双侧节段和亚节动脉充盈缺损，左上叶囊性病变。进一步的工作，包括支气管肺泡灌洗培养和胸部MRI，确诊为包虫囊肿的肺包虫病。此病例说明了在没有其他危险因素的年轻男性中出现多系统包虫病。最初接受手术切除和抗蠕虫治疗。这种疾病后来复发，这需要长时间的药物治疗，使病人得到缓解.
