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http://dx.doi.org/10.5603/ARM.2019.0055DOI Listing

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Article Synopsis
  • Bronchobiliary fistula (BBF) is a rare condition in adults that connects the bronchial system and biliary tract, often resulting from trauma, infections, or surgical complications.
  • The case presented involves a 58-year-old man who developed BBF after liver hydatid cyst surgery, leading to acute breathing issues and requiring multiple diagnostic procedures before surgery.
  • Surgical treatment posed significant challenges for anesthetic management due to factors like potential sepsis and lung isolation difficulties, necessitating a team approach for postoperative care, including respiratory support and antibiotic treatment.
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In this report, a case of 62-year-old female is described who came to the hospital with chief complaints of breathlessness and productive cough with salty whitish expectoration, which she had for two months, along with fever and right-sided chest pain, for three days. The case was identified as a ruptured pulmonary hydatid cyst with pyopneumothorax using contrast-enhanced computed tomography and chest X-ray. This was further supported by the antibody IgG test.

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Human echinococcosis is a common zoonotic disease. Due to favourable climatic conditions, India contributes to the majority of the burden of cystic echinococcosis (CE) in the world. The lung is the most commonly affected organ in the body, after the liver.

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Article Synopsis
  • Hydatid cysts are rare in cytologic smears, often misdiagnosed, as seen in a case where fine needle aspiration cytology revealed a pulmonary hydatid cyst mistakenly thought to be an abscess.
  • A 29-year-old female with respiratory symptoms underwent imaging that suggested an abscess, but fine needle aspiration confirmed the presence of a hydatid cyst, leading to successful surgical removal.
  • The report emphasizes the importance of accurate diagnosis using various methods, highlighting fine needle aspiration as a valuable, though risky, tool when done by skilled professionals.
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Background: Lophomonas blattarum is a rare protozoan that causes opportunistic infections, and the co-infection of lophomonas with tuberculosis and human hydatidosis is a serious public problem in the co-endemic areas of developing countries.

Case Report: We presented a 58-year-old female with fever, losing weight, and cough with whitish-yellow sputum that started one month ago. Increasing inflammatory markers and hypereosinophilia in laboratory tests, and a cavity with thick, regular walls and undulating air-fluid levels measuring 43 × 30, evident in the upper segment of the right lower lobe (RLL), along with consolidation and the ground glass opacity of the upper segment and posterior basal of the RLL is apparent in CT scan were reported.

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