%0 Case Reports %T The Impact of Pulmonary Hydatid Cyst Rupture on COVID-19 Symptom Severity. %A Pagheh AS %A Pazoki H %A Azarkar G %A Alemzadeh E %A Hajavi J %A Ziaee M %J Acta Parasitol %V 69 %N 1 %D 2024 Mar 17 %M 38493433 %F 1.534 %R 10.1007/s11686-024-00803-4 %X 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.