Abstract
We present a case of a hydatid cyst (Echinococcus granulosus) rupturing into the right pleural cavity. Clinical and radiological findings were consistent with a pleural effusion caused by pneumonia and led primarily to a wrong diagnosis. Pleural fluid analysis was suspicious for parapneumonic pleural empyema. After thoracoscopy led to the correct diagnosis a combined surgical and chemotherapy approach achieved complete remission.
MeSH terms
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Chemotherapy, Adjuvant
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Combined Modality Therapy
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Diagnosis, Differential
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Drainage / methods
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Echinococcosis, Pulmonary / diagnosis*
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Echinococcosis, Pulmonary / therapy
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Empyema, Pleural / diagnosis*
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Empyema, Pleural / therapy
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Follow-Up Studies
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Humans
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Male
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Middle Aged
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Pleural Effusion / diagnosis
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Pleural Effusion / therapy
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Risk Assessment
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Rupture, Spontaneous / diagnosis
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Rupture, Spontaneous / therapy
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Thoracoscopy / methods
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Tomography, X-Ray Computed
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Treatment Outcome