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  • Title: The non-resolving lung cavity: a case of pulmonary cystic echinococcosis.
    Author: Mifsud S, Schembri EL, Gauci J, Mizzi A, Mallia Azzopardi C, Micallef J.
    Journal: BMJ Case Rep; 2017 Jul 31; 2017():. PubMed ID: 28765482.
    Abstract:
    The authors report a case of a 20-year-old woman who was diagnosed with pulmonary cystic echinococcosis. She was admitted to hospital with a 1-week history of unresolving cough, coloured sputum with occasional haemoptysis and fever despite oral antibiotics. Radiology revealed a cavitating right lower lobe lung abscess. After 4 weeks of treatment, follow-up radiology showed incomplete resolution. Bronchoscopy revealed a white, avascular cystic lesion in the right lower lobe and serology testing for Echinococcus granulosus was positive. Repeat imaging eventually confirmed the cystic lesion with the 'air bubble'sign. A thorough travel history, a high index of clinical suspicion and close follow-up are essential in making a diagnosis of pulmonary cystic echinococcosis.
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