Pulmonary echinococcal cyst with a filamentous fungus co-infection.

We report a case of 60 years old immunocompetent female, presented with cough, chest pain and shortness of breath. The chest X-ray showed a large thick walled cavity in the lower and mid zone of right lung with positive water lily sign. Surgical enucleation of the echinococcal cyst revealed aspergilloma involving the cavity with massive invasion of laminated ectocyst by filamentous fungus, morphologically resembling an Aspergillus species and was further treated with Itraconazole for 3 months. This unique coexistence of active pulmonary echinococcosis and aspergillosis is being reported because of its rarity and clinical importance for its management. PMID: 24391230 [PubMed - indexed for MEDLINE]
Source: Ghana Medical Journal - Category: African Health Tags: Ghana Med J Source Type: research