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Transient Transduction of the Strobilated Forms of Echinococcus granulosus
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Aspergilloma in a hydatid cavity.
Vinay Murahari Rao1, Raj Kumar Joel1, Santhosh Regini Benjamin1
1The Department of Cardiothoracic Surgery, The Christian Medical College, Vellore, Tamil Nadu 632004 India.
Indian Journal of Thoracic and Cardiovascular Surgery
|October 19, 2022
Summary
Fungal colonization of hydatid lung cavities by Aspergillus is rare, especially in diabetics. This case highlights the need for vigilance in immunocompromised patients with hydatid cysts to detect co-existing fungal infections.
Area of Science:
- Medical Mycology
- Parasitology
- Infectious Diseases
Background:
- Fungal colonization, particularly by Aspergillus, typically occurs in pre-existing lung cavities, often resulting from post-tubercular sequelae.
- Hydatid cysts, caused by Echinococcus granulosus, are parasitic infections that usually manifest in the liver or lungs.
Observation:
- This report details an unusual case of co-infection involving a hydatid lung cavity and Aspergillus fungal colonization.
- The patient was a 55-year-old diabetic male presenting with this rare co-infection.
Findings:
- The co-infection was diagnosed pre-operatively.
- Management involved a multi-modal approach including surgical intervention, antifungal agents, and anthelminthic medication.
Implications:
- Clinicians should maintain a high index of suspicion for concomitant fungal infestation in hydatid cysts, particularly in diabetic and immunocompromised individuals.
- This vigilance is crucial for effective management of hydatid cysts in at-risk populations.
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