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Hydatid cyst with intracavitary fungal ball: Does it require lung resection?

Yazgan S, Gursoy S, Usluer O, Ucvet A - J Res Med Sci (2015)

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic Surgery, Izmir Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, Izmir, Turkey.

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Sir, An association of echinococcal pulmonary hydatid cyst with fungal infection is rarely seen in humans... We detected a cystic lesion located in the left lung with chest radiographic examination in a 24-year-old female patient that had been suffering from back pain and cough for a month... Cystic lesion was visualized with a size of 24 mm × 13 mm in the superior segment of inferior lobe of the left lung by computed tomography (CT)... Secondary infections, which develop due to ruptured hydatid cysts in the bronchial system, are usually bacterial; however, they are rarely caused by fungal infection... Radiological findings may lead to suspicion of the disease, it does not provide clear and specific data... SY contributed in the conception of the work, conducting the study, revising the draft, approval of the final version of the manuscript, and agreed for all aspects of the work... SG contributed in the conception of the work, drafting and revising the draft, approval of the final version of the manuscript, and agreed for all aspects of the work... OU contributed in the conception of the work, conducting the study, revising the draft, approval of the final version of the manuscript, and agreed for all aspects of the work... AU contributed in the conception of the work, revising the draft, approval of the final version of the manuscript, and agreed for all aspects of the work.

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The left panel show operative view of the opened hydatid cyst cavity, and the right panel show histopathological examination showing typical Aspergillus hyphae and membrane of the hydatid cyst (H and E, ×40) and Aspergillus hyphae makes a 45° angle on the fungus ball (H and E, ×400)
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Figure 1: The left panel show operative view of the opened hydatid cyst cavity, and the right panel show histopathological examination showing typical Aspergillus hyphae and membrane of the hydatid cyst (H and E, ×40) and Aspergillus hyphae makes a 45° angle on the fungus ball (H and E, ×400)

Mentions: The patient was surgically treated. The cystic cavity was drained and obliterated using cystectomy and capitonage techniques. Betadine® (povidine iodine 10% (Betadine solution; Purdue Frederick Co., Norwalk, CT, USA)) solution was used as a germicidal agent, and hypertonic NaCl was applied for drainage. The bronchial openings in the cavity were closed by nonabsorbable suture materials [Figure 1]. Typical Aspergillus hyphae and perforated, lamellar and the necrotic membrane of the hydatid cyst were visualized by histopathological examination of cyst contents. Findings were compatible with fungus ball that developed on the basis of a hydatid cyst [Figure 1].


Hydatid cyst with intracavitary fungal ball: Does it require lung resection?

Yazgan S, Gursoy S, Usluer O, Ucvet A - J Res Med Sci (2015)

The left panel show operative view of the opened hydatid cyst cavity, and the right panel show histopathological examination showing typical Aspergillus hyphae and membrane of the hydatid cyst (H and E, ×40) and Aspergillus hyphae makes a 45° angle on the fungus ball (H and E, ×400)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4400719&req=5

Figure 1: The left panel show operative view of the opened hydatid cyst cavity, and the right panel show histopathological examination showing typical Aspergillus hyphae and membrane of the hydatid cyst (H and E, ×40) and Aspergillus hyphae makes a 45° angle on the fungus ball (H and E, ×400)
Mentions: The patient was surgically treated. The cystic cavity was drained and obliterated using cystectomy and capitonage techniques. Betadine® (povidine iodine 10% (Betadine solution; Purdue Frederick Co., Norwalk, CT, USA)) solution was used as a germicidal agent, and hypertonic NaCl was applied for drainage. The bronchial openings in the cavity were closed by nonabsorbable suture materials [Figure 1]. Typical Aspergillus hyphae and perforated, lamellar and the necrotic membrane of the hydatid cyst were visualized by histopathological examination of cyst contents. Findings were compatible with fungus ball that developed on the basis of a hydatid cyst [Figure 1].

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic Surgery, Izmir Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, Izmir, Turkey.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Sir, An association of echinococcal pulmonary hydatid cyst with fungal infection is rarely seen in humans... We detected a cystic lesion located in the left lung with chest radiographic examination in a 24-year-old female patient that had been suffering from back pain and cough for a month... Cystic lesion was visualized with a size of 24 mm × 13 mm in the superior segment of inferior lobe of the left lung by computed tomography (CT)... Secondary infections, which develop due to ruptured hydatid cysts in the bronchial system, are usually bacterial; however, they are rarely caused by fungal infection... Radiological findings may lead to suspicion of the disease, it does not provide clear and specific data... SY contributed in the conception of the work, conducting the study, revising the draft, approval of the final version of the manuscript, and agreed for all aspects of the work... SG contributed in the conception of the work, drafting and revising the draft, approval of the final version of the manuscript, and agreed for all aspects of the work... OU contributed in the conception of the work, conducting the study, revising the draft, approval of the final version of the manuscript, and agreed for all aspects of the work... AU contributed in the conception of the work, revising the draft, approval of the final version of the manuscript, and agreed for all aspects of the work.

No MeSH data available.


Related in: MedlinePlus