Pulmonary hydatid disease with coexistent aspergillosis: An incidental finding

Agarwal, Shaleen; Bohara, Sangita; Thakran, A; Arora, Prerna; Singh, Rajdeep; Agarwal, PN

doi:10.4103/0255-0857.108740

Cited by 6 publications

(10 citation statements)

References 6 publications

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“…Less commonly it has also been reported in the residual cavity after surgery for pulmonary hydatid cyst . This double pathology may be clinically asymptomatic or manifest with symptoms similar to that of present case. It has been proposed that superinfections by such opportunistic pathogens occur when large hydatid cysts extend to or lie close to the hilum that prevents obliteration of the cyst cavity and facilitates its superinfection from the adjacent airways .…”

Section: Discussion/conclusionsupporting

confidence: 73%

“…This double pathology may be clinically asymptomatic or manifest with symptoms similar to that of present case. It has been proposed that superinfections by such opportunistic pathogens occur when large hydatid cysts extend to or lie close to the hilum that prevents obliteration of the cyst cavity and facilitates its superinfection from the adjacent airways . Prior intervention and rupture of cysts are also predisposing factors for secondary infection .…”

Section: Discussion/conclusionsupporting

confidence: 68%

“…Individually, hydatid disease and aspergilloma can be accurately diagnosed by radiological imaging techniques based on the demonstration of various signs . But the efficacy of radiologic techniques in diagnosing aspergillus co‐infection in pulmonary hydatid cyst is still uncertain due to its rarity . Moreover, complicated hydatid cyst, which is a term used for ruptured cysts with or without infection, can complicate the radiological picture leading to diagnostic difficulties .…”

Section: Discussion/conclusionmentioning

confidence: 99%

“…It is also well known that presence of cavitary lesions in lung is a predisposing factor for infection by the saprophytic fungus Aspergillus . Yet, co‐existence of pulmonary echinococcosis and aspergillosis is rare, with most of the reported cases and short case series being histopathological diagnosis . Till date, there are only two documented reports of this double pathology being diagnosed on cytology .…”

mentioning

confidence: 99%

“…2 Yet, coexistence of pulmonary echinococcosis and aspergillosis is rare, with most of the reported cases and short case series being histopathological diagnosis. [3][4][5][6] Till date, there are only two documented reports of this double pathology being diagnosed on cytology. 7,8 FNA of suspected hydatid cyst is usually avoided due to risk of complications.…”

mentioning

confidence: 99%

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Pulmonary hydatid cyst with co‐existent aspergillosis: A rare cytology finding

Nayak

Kowe

Kumbhalkar

et al. 2016

Diagnostic Cytopathology

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Pulmonary hydatid cyst with co-existing aspergillosis is rare. Till date, there are only two documented reports of this double pathology being diagnosed on cytology. The present case is of a young immunocompetent female who presented with respiratory complaints including intermittent hemoptysis. Chest X-ray and CT thorax revealed two well-defined lesions in the lower lobe of left lung that was suggestive of either infective or benign neoplastic etiology. But as hydatid cyst was not suspected either clinically or radiologically, FNA was performed. Based on the typical cytomorphological features a definitive diagnosis of hydatid cyst with aspergillosis was offered on cytology that was later confirmed on histopathology. To the best of our knowledge this is only the third report of pulmonary echinococcosis with aspergillus co-infection being diagnosed on cytology. The purpose of reporting this case is to draw attention to the rare possibility of co-existing aspergillus infection in pulmonary echinococcosis even in immunocompetent individuals, which can complicate the clinico-radiological picture. However, both pathologies can be effectively and accurately diagnosed on cytology, based on which proper treatment can be initiated. Diagn. Cytopathol. 2016;44:696-699. © 2016 Wiley Periodicals, Inc.

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Section: Discussion/conclusionsupporting

confidence: 73%

Section: Discussion/conclusionsupporting

confidence: 68%

Section: Discussion/conclusionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Pulmonary hydatid cyst with co‐existent aspergillosis: A rare cytology finding

Nayak

Kowe

Kumbhalkar

et al. 2016

Diagnostic Cytopathology

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The Echinococcoses

Kern

Silva

Akhan

et al. 2017

Advances in Parasitology

344

152

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Concomitant of Pulmonary Hydatid Cyst and Aspergilloma: A Rare Coinfection

Zareshahrabadi

Sarkari

Shamsolvaezin

et al. 2020

Case Reports in Infectious Diseases

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The coexistence of cystic echinococcosis (CE) and aspergilloma is rather uncommon. Aspergillus species, saprophytic fungi, can colonize pulmonary cavities that are caused by tuberculosis, sarcoidosis, and CE. Infection by Aspergillus is often occurring in immunosuppressed patients. However, coinfection of aspergilloma with pulmonary hydatid cyst is very unusual, especially in an immunocompetent patient with unruptured cyst. Herein, we report a case of lung hydatid cyst coinfected with Aspergillus in a 42-year-old Iranian man from Southern Iran. Chest X-ray and computed tomography (CT) scan showed a circumscribed cystic lesion in the superior and inferior segment of the lower lobes of right and left lungs that suggests hydatid cyst. Radical surgery (lobectomy) was performed for the patient. Histopathological evaluation reconfirmed the classical laminated layer of hydatid cyst. Moreover, the ectocyst layer of the right lung showed the presence of numerous cluster septate hyphae with acute-angled branching, as seen in the morphology of Aspergillus species. DNA was extracted from the cyst, and the ITS1-5.8s-ITS2 region of the fungal agent was amplified. Sequencing and analysis of seminested PCR product revealed that the isolate has the most similarity with Aspergillus niger. Further attention is recommended to control fungal pathogens during pulmonary hydatidosis. The coexistence of aspergilloma should always be kept in mind for the better management of CE.

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Pulmonary hydatid disease with coexistent aspergillosis: An incidental finding

Cited by 6 publications

References 6 publications

Pulmonary hydatid cyst with co‐existent aspergillosis: A rare cytology finding

Pulmonary hydatid cyst with co‐existent aspergillosis: A rare cytology finding

The Echinococcoses

Concomitant of Pulmonary Hydatid Cyst and Aspergilloma: A Rare Coinfection

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