%0 Case Reports %T Infected pulmonary hydatid cyst: A challenging diagnosis. %A AlRashed FM %A AlShahrani DA %J Saudi Med J %V 45 %N 4 %D 2024 Apr %M 38657978 %F 1.422 %R 10.15537/smj.2024.45.4.20230078 %X Echinococcosis is a parasitic infection that is distributed worldwide. Its clinical presentation depends on the size and location of the cyst. A 7-year-old was found with a superimposed infected pulmonary hydatid cyst that was initially misdiagnosed as complicated pneumonia. Our case underscores the challenges of diagnosing and managing echinococcosis, emphasizes the need for a high index of suspicion, and describes the disease's ability to mimic other clinical entities.