An Imported Case of Echinococcosis in a Pregnant Lady with Unusual Presentation

Abstract

A 31-year-old Syrian pregnant (25-week duration) patient who was managed as a case of bronchial asthma for one year because of chronic cough and progressive breathlessness presented to the Accident and Emergency Department at Hamad General Hospital, Doha, with cough and shortness of breath. On the day of admission, she coughed large amount of yellowish watery material which was salty and sour in taste. She was found by radiological investigations to have multiple giant hydatid cysts (three in the lungs and one in the liver), with ruptured cyst in the left lung. We report here an unusual case of giant multiple pulmonary hydatidosis localized in the lungs and masquerading as bronchial asthma in a pregnant lady. The case represents an uncommon situation of a common disease of rupture of hydatid cyst of the lung in a pregnant lady in her 3rd trimester.

The non-resolving lung cavity: a case of pulmonary cystic echinococcosis

“…Humans participate in this life-cycle by ingesting food that is contaminated with faecal material containing embryonated eggs from an infected carnivore. 7 The authors present the case of a patient who probably contracted the disease by ingesting food which was contaminated with faecal material from an infected carnivore.…”

Hidatidosis pulmonar complicada en una mujer gestante: Reporte de caso y revisión de la literatura

“…La coexistencia entre hidatidosis pulmonar y gestación es pobremente documentada, pese a la abundante información en la literatura sobre esta enfermedad (7,9). La gestación favorece la ruptura de quistes hidatídicos, debido al crecimiento del útero grávido que incrementa la presión intraabdominal e intratorácica (2,9).…”

“…El tratamiento de la hidatidosis pulmonar durante la gestación es un reto debido al riesgo de ruptura quística, anafilaxia, parto pre término, restricción de crecimiento intrauterino y otros (7). En nuestro caso se realizó la quistectomía a los 2 meses post parto; no se administró Benzoimidazoles por estar contraindicados en la gestación (9,10,14); similar manejo fue reportado por Al-Aniet al (7).…”

“…Según los reportes previos se pudo observar que la quistectomía antes de las 20 SG no conllevó riesgos materno-fetales mayores (9-11), a pesar que la Organización Mundial de la Salud contraindique la cirugía durante la gestación (14); mientras que en gestantes mayores de 25 semanas se prefirió realizarlo después de una cesárea programada a las 34 SG; esta conducta tampoco conllevó a complicaciones de importancia (7,8); al igual que en el presente caso. Pero, estas observaciones carecen de evidencia científica para sacar conclusiones definitivas.…”

Hydatidosis in Morocco: Review of literature and epidemiology Zineb Tlamcani

“…Hydatidosis or hydatid cyst is a widespread zoonosis throughout the world due to larval forms of the tapeworm of the genus Echinococcus present in the small intestines of carnivores [1]. Infection with Echinococcus granulosus is the most frequent form of echinococcal infection in humans [2]. It is actually endemic in numerous areas of the world, like nations near to the Mediterranean Sea, in addition to northern and eastern Africa, China, South America, central as well as western Asia, and Australia [3].…”