Analyse de la sémiologie radioclinique du kyste hydatique pulmonaire

Khattabi, W. El; Aichane, A.; Riah, A.; Jabri, H.; Àfif, H.; Bouayad, Z.

doi:10.1016/j.pneumo.2012.09.001

Cited by 6 publications

(3 citation statements)

References 7 publications

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“…Concernant la particularité de notre observation, la radiographie thoracique a objectivée une double localisation inhabituellement apicale sans atteinte des lobes basaux confirmée ensuite par la tomodensitométrie. Hors la majorité des KH bilatéraux rapportés dans la littérature siègent préférentiellement dans les lobes basaux et surtout dans la base droite [ 3 , 10 ]. Le mécanisme de cette double localisation bilatérale du KH serait dans ce cas, des infestations itératives favorisées par la vie en milieu rural.…”

Section: Discussionunclassified

Kyste hydatique pulmonaire: double localisation pulmonaire apicale inhabituelle. A propos d’un cas

Sajiai¹,

Rachidi²,

Aitbatahar³

et al. 2016

Pan Afr Med J

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Le kyste hydatique (KH) est une pathologie encore endémique dans plusieurs pays notamment dans notre contexte marocain. L’atteinte pulmonaire vient au second plan après l’atteinte hépatique. Elle se caractérise par la richesse des tableaux anotomo-cliniques et la possibilité de localisations multiples dans le parenchyme pulmonaire, prédominant essentiellement aux bases. Nous rapportons le cas de Mr J.M, âgé de 54 ans, admis pour suspicion de kyste hydatique pulmonaire devant une douleur thoracique évoluant depuis 6 mois et un épisode d’hydatidoptysie. La radiographie thoracique a objectivé une image particulière de double localisation apicale illustrant en un même cliché des différents stades évolutifs du kyste hydatique pulmonaire. Le diagnostic était confirmé par la TDM thoracique et la sérologie hydatique. La localisation multiple du kyste hydatique pulmonaire n’est pas une situation rare dans les pays à forte endémie hydatique. Notre cas clinique rapporte une double localisation apicale inhabituelle du kyste hydatique et à des stades évolutifs différents.

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Section: Discussionunclassified

Kyste hydatique pulmonaire: double localisation pulmonaire apicale inhabituelle. A propos d’un cas

Sajiai¹,

Rachidi²,

Aitbatahar³

et al. 2016

Pan Afr Med J

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“…False-negative results in confirmed cystic echinococcosis cases have been robustly associated with CE cyst stage (CE1 and CE4-CE5 stages vs. CE2-CE3a-CE3b), independently of the test format and antigen(s) used [52 && ]. Other factors that are associated with higher proportion of false-negative serology results are CE cyst localization (extra-hepatic vs. hepatic) [53][54][55][56][57][58][59][60][61][62][63][64][65], size (small vs. large), number (single vs. multiple) and integrity (untreated/complicated vs. treated/complicated) [39,57,60,65,66]. In diagnostic accuracy and hospital cohort studies retrieved in this review [53][54][55][56][57][58][59][60][61][62][63][64][65], seropositivity rates in individuals with lung cystic echinococcosis ranged from 80% at best to as low as 17%, or 12% in individuals with cysts in uncommon localizations.…”

Section: Updates On Serology and Other Laboratory Tools For The Diagn...mentioning

confidence: 99%

“…Other factors that are associated with higher proportion of false-negative serology results are CE cyst localization (extra-hepatic vs. hepatic) [53][54][55][56][57][58][59][60][61][62][63][64][65], size (small vs. large), number (single vs. multiple) and integrity (untreated/complicated vs. treated/complicated) [39,57,60,65,66]. In diagnostic accuracy and hospital cohort studies retrieved in this review [53][54][55][56][57][58][59][60][61][62][63][64][65], seropositivity rates in individuals with lung cystic echinococcosis ranged from 80% at best to as low as 17%, or 12% in individuals with cysts in uncommon localizations. These figures are always lower that those obtained with hepatic cystic echinococcosis.…”

Section: Updates On Serology and Other Laboratory Tools For The Diagn...mentioning

confidence: 99%

‘No cyst, no echinococcosis’: a scoping review update on the diagnosis of cystic echinococcosis after the issue of the WHO-IWGE Expert Consensus and current perspectives

Siles‐Lucas

Uchiumi

Tamarozzi

2023

Current Opinion in Infectious Diseases

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Purpose of review In 2010, the WHO-Informal Working Group on Echinococcosis (IWGE) published an Expert Consensus on the diagnosis and treatment of echinococcal infections. We provide an update on the diagnosis of cystic echinococcosis through a scoping review of the literature published after the release of the WHO-IWGE document. Recent findings Ultrasound accurately and reliably depicts the pathognomonic signs of cystic echinococcosis (CE) stages compared with other imaging techniques. Among these, T2-wighted MRI is to be preferred to computed tomography, which has poor performance for the etiological diagnosis of CE. A negative serology cannot exclude the diagnosis of CE, while a positive serology, applied after the visualization of a CE-compatible lesion, may confirm a CE diagnosis. Serology alone must not be used to define ‘CE’ nor as ‘screening’ tool for infection. Other imaging and laboratory techniques did not show clinically applicable performances. Summary In the absence of a focal lesion compatible with a CE cyst, no diagnosis of CE should be attempted. There is urgent need to achieve univocal CE case definitions and consensus diagnostic algorithm, as well as standardization of diagnostic methods and issue of a Target Product Profile of CE diagnostics, as advocated by the WHO in the 2021–2030 roadmap for neglected tropical diseases (NTDs).

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Ruptured pulmonary hydatid cyst presenting as hemoptysis in TB endemic country: A case report

Pangeni

Regmi

Khadka

et al. 2022

Annals of Medicine &Amp; Surgery

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Analyse de la sémiologie radioclinique du kyste hydatique pulmonaire

Cited by 6 publications

References 7 publications

Kyste hydatique pulmonaire: double localisation pulmonaire apicale inhabituelle. A propos d’un cas

Kyste hydatique pulmonaire: double localisation pulmonaire apicale inhabituelle. A propos d’un cas

‘No cyst, no echinococcosis’: a scoping review update on the diagnosis of cystic echinococcosis after the issue of the WHO-IWGE Expert Consensus and current perspectives

Ruptured pulmonary hydatid cyst presenting as hemoptysis in TB endemic country: A case report

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