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Bilateral pulmonary hydathidic cyst with fatal outlet: a case report


International Journal of Family & Community Medicine
Junior Julio Zapata Choque,1 Julio Cesar Espinoza Latorre,2 Caroline Naysha Nolazco Sandoval1

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Abstract

Hydatidosis is a parasitic zoonosis caused by Echinococcus Granulosus, its life cycle includes  dogs,  sheep  and  others;  liver  involvement  is  the  most  frequent  (65%-75%), followed by the lung (10%-25%), in Peru the pulmonary location is 60%. Its signs and symptoms are produced by the mass effect, its superinfection or anaphylactic reactions secondary to its rupture. We present the case of a 24-year-old insulin-dependent patient with type I diabetes mellitus, hypertension and diabetic retinopathy with bilateral pulmonary hydatidosis. A cystectomy was performed without complications and a lobectomy that was complicated with admission to the ICU until the death of the patient. Diabetes mellitus causes  a  state  of  immunosuppression  which  caused  the  advanced  state  of  the  patient’s  parasitosis, as well as being related to multiple intra- and postoperative complications and even leading to the death of the patient.

Keywords

echinococcosis, echinococcus granulosus infection, diabetes mellitus, insulin dependent (Source: MeSH NLM)

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