Tuberc Respir Dis > Volume 70(4); 2011 > Article
Tuberculosis and Respiratory Diseases 2011;70(4):338-341.
DOI: https://doi.org/10.4046/trd.2011.70.4.338    Published online April 1, 2011.
A Case of Pleural Hydatid Cyst Mimicking Malignancy in a Non-Endemic Country.
Se Joong Kim, Ki Hwan Jung, Won Min Jo, Young Sik Kim, Chol Shin, Je Hyeong Kim
1Division of Pulmonary, Sleep and Critical Care Medicine, Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Korea. chepraxis@korea.ac.kr
2Department of Thoracic and Cardiovascular Surgery, Korea University Ansan Hospital, Ansan, Korea.
3Department of Pathology, Korea University Ansan Hospital, Ansan, Korea.
Abstract
Hydatid disease is caused by the larval stage of taenia Echinococcus, which endemic in the Mediterranean region. Recently, the prevalence of the disease has increased worldwide due to an increase in the frequency of travel and immigration. As the infested larvae migrate through the bloodstream, the final destination is most commonly the liver or lungs; direct pleural invasion is very rare. A 50-year-old diabetic Korean man presented with an incidentally noted 2 cm right pleural nodule. On follow up imaging after three months, its size had increased. To confirm the diagnosis of the lesion, surgical excision was performed. Histopathological examination showed the diagnosis of a hydatid cyst. The patient had no history of overseas travel, but lives in an urban area where many foreign workers from endemic countries reside. This is the first reported case of primary pleural hydatid disease in a non-endemic country.
Key Words: Echinococcosis, Pleura, Taenia


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