Pulmonary hydatid cyst in HIV-1 disease
V V Shenoy1, S R Joshi, A P Aklujkar
1Grant Medical College and Sir JJ Group of Hospitals, Mumbai, India.
The Journal of the Association of Physicians of India
|April 1, 2006
Summary
A rare case of HIV-positive patient in India presented with pneumonia, later diagnosed as ruptured pulmonary hydatid cysts. Imaging revealed the characteristic "water lily sign" of hydatid disease.
Area of Science:
- Pulmonology
- Infectious Diseases
- Radiology
Background:
- Presents a rare case of a 36-year-old male with known retroviral disease (HIV).
- Patient initially exhibited symptoms suggestive of pneumonia.
Observation:
- Bilateral lower zone lung consolidation was observed on chest radiograph.
- Resolution of consolidation revealed cystic changes on subsequent imaging.
- CT scan confirmed the cysts as ruptured pulmonary hydatid cysts.
Findings:
- The characteristic 'water lily sign' was identified on CT scan, indicative of hydatid disease.
- This case highlights the uncommon co-occurrence of pulmonary hydatid cyst and HIV infection.
- The patient was from India, adding a geographical context to this rare association.
Implications:
- This case underscores the importance of considering hydatid disease in HIV-positive patients presenting with atypical pneumonia or cystic lung changes.
- Radiological findings, particularly the 'water lily sign', are crucial for diagnosis.
- Further research may be needed to understand the epidemiological link between HIV and pulmonary hydatid disease in specific regions.
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